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Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices
attend the meeting should submit an
inquiry via the NACCD Contact Form
located at www.phe.gov/
NACCDComments.

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

FOR FURTHER INFORMATION CONTACT:

Please submit an inquiry via the NACCD
Contact Form located at www.phe.gov/
NACCDComments.
Pursuant
to the Federal Advisory Committee Act
(FACA) of 1972 (5 U.S.C., Appendix, as
amended), and section 2811A of the
Public Health Service (PHS) Act (42
U.S.C. 300hh–10a), as added by section
103 of the Pandemic and All Hazards
Preparedness Reauthorization Act of
2013 (Pub. L. 113–5), the HHS
Secretary, in consultation with the
Secretary of the U.S. Department of
Homeland Security, established the
National Advisory Committee on
Children and Disasters (NACCD). The
purpose of the NACCD is to provide
advice and consultation to the HHS
Secretary with respect to the medical
and public health needs of children in
relation to disasters. The Office of the
Assistant Secretary for Preparedness
and Response (ASPR) provides
management and administrative
oversight to support the activities of the
NACCD.
Background: This public meeting will
be dedicated to the members voting to
approve two task letters that the NACCD
Chair received from the Assistant
Secretary for Preparedness and
Response.
Availability of Materials: The meeting
agenda and materials will be posted on
the NACCD Web site at: www.phe.gov/
naccd prior to the meeting.
Procedures for Providing Public Input:
All written comments must be received
prior to December 17, 2014. Please
submit comments via the NACCD
Contact Form located at www.phe.gov/
NACCDComments. Individuals who
plan to attend and need special
assistance should submit a request via
the NACCD Contact Form located at
www.phe.gov/NACCDComments.

rljohnson on DSK3VPTVN1PROD with NOTICES

SUPPLEMENTARY INFORMATION:

Dated: November 25, 2014
Nicole Lurie,
Assistant Secretary for Preparedness and
Response.
[FR Doc. 2014–28337 Filed 12–1–14; 8:45 am]
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Proposed Data Collections Submitted
for Public Comment and
Recommendations
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 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
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

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be received within 60 days of this
notice.
Proposed Project
State Health Department Access to
Electronic Health Record Data from
Healthcare Facilities during a
Healthcare-Associated Infection
Outbreak: A Retrospective
Assessment—New—National Center for
Emerging and Zoonotic Infections
Diseases (NCEZID), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Two years ago, contaminated steroid
injections caused the largest fungal
meningitis outbreak in the United
States, affecting 20 states and resulting
in 751 infections and 64 deaths. The
subsequent healthcare-associated
infection (HAI) outbreak response
required significant collaboration
between healthcare providers and
facilities and public health departments
(HDs). Following the outbreak response,
HDs reported that various challenges
with access to patient health
information in electronic health records
(EHRs) hindered the efficient and rapid
identification of potential fungal
meningitis cases in healthcare facilities.
The fungal meningitis outbreak
experience highlights the need to better
understand the landscape of granting
and using access to EHRs for outbreak
investigations.
The Division of Healthcare Quality
Promotion, the Office for State, Tribal,
Local and Territorial Support, and the
Office of Public Health Scientific
Services at the Centers for Disease
Control and Prevention (CDC) are
partnering with Association of State and
Territorial Health Officials and The
Keystone Center to evaluate the
challenges surrounding HDs access to
EHRs in healthcare facilities’ during an
HAI outbreak investigation. The
evaluation seeks to compile information
across states from experts in the public
and private sector to assess experiences,
identify issues, and seek
recommendations for improving HDs
access to EHRs during future outbreaks.
In addition to a study report, the
insights from healthcare facility staff
will be used to build a toolkit to help
state HDs understand the perspectives
and needs of the healthcare facilities
related to EHR access. The toolkit will
provide perceived barriers,
recommendations to overcome those
barriers, best practices that support EHR
access, and practical tools such as
templates, memorandums of
understanding (MOUs), and policies.
The toolkit will be distributed to HDs,
healthcare facilities, and other

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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]
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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

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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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