Published 60-Day FRN

64197

Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 2014 / Notices
A variety of agencies sponsor datacollection components on NHANES. To
keep burden down, NCHS cycles in and
out various components. The 2015–2016
NHANES physical examination
includes the following components:
Oral glucose tolerance test (ages 12 and
older), anthropometry (all ages), 24-hour
dietary recall (all ages), physician’s
examination (all ages, blood pressure is
collected here), oral health examination
(ages 1 and older), hearing (ages 20–59),
dual X-ray absorptiometry (total body
composition ages 6–59 and
osteoporosis, vertebral fractures and
aortic calcification ages 40 and older).
The oral health examination includes
the collection of an oral human
papilloma virus (HPV) specimen on
those ages 14–69.
While at the examination center
additional interview questions are asked
(6 and older), and a second 24-hour
dietary recall (all ages) is scheduled to
be conducted by phone 3–10 days later.

Beginning in 2015, collection of four
additional oral HPV specimens will
occur in the home at 6, 12, 18 and 24
months after the first collection.
Specimens will be returned via mail.
The bio-specimens collected for
laboratory tests include urine, blood,
vaginal and penile swabs, oral rinses
(HPV) and household water collection.
Serum, plasma and urine specimens are
stored for future testing if the
participant consents.
The following major examination or
laboratory items, that had been included
in the 2013–2014 NHANES, were cycled
out for NHANES 2015–2016: Physical
activity monitor, taste and smell
component and upper body muscle
strength (grip test).
Most sections of the NHANES
interviews provide self-reported
information to be used either in concert
with specific examination or laboratory
content, as independent prevalence
estimates, or as covariates in statistical

analysis (e.g., socio-demographic
characteristics). Some examples include
alcohol, drug, and tobacco use, sexual
behavior, prescription and aspirin use,
and indicators of oral, bone,
reproductive, and mental health.
Several interview components support
the nutrition monitoring objective of
NHANES, including questions about
food security and nutrition program
participation, dietary supplement use,
and weight history/self-image/related
behavior.
NHANES data users include the U.S.
Congress; numerous Federal agencies
such as other branches of the Centers for
Disease Control and Prevention, the
National Institutes of Health, and the
United States Department of
Agriculture; private groups such as the
American Heart Association; schools of
public health; and private businesses.
There is no cost to respondents other
than their time. The total estimated
annualized burden hours are 43,525.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Individuals in households ...............................
Individuals in households ...............................

NHANES Questionnaire ................................
Special Studies .............................................

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. 2014–25560 Filed 10–27–14; 8:45 am]
BILLING CODE 4163–18–P

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

Proposed Data Collections Submitted
for Public Comment and
Recommendations

asabaliauskas on DSK4SPTVN1PROD with NOTICES

Number of
respondents

Type of respondents

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 Leroy A. Richardson, 1600

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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; (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

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Number of
responses per
respondent

Average burden
per response
(in hrs)

1
1

2.5
3

14,410
2,500

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
Health Insurance Plans Research
Study—New—Office of Health System
Collaboration, Office of the Associate
Director for Policy, Office of the
Director, Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The Health Insurance Plans Research
Study will uniquely examine the
prevalence, characteristics, and
differences of prevention and wellness
programs offered by health insurance
plans in this critical era of healthcare
reform. There are no known studies that
have addressed the prevalence of
prevention and wellness programs
across health plans or explored the
granular details of these programs as
this study is intended to do. Not
conducting this study would be one less
step toward increasing healthy years of
life.

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Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 2014 / Notices

Furthermore, the Health Insurance
Plans Research Study will address the
priorities and goals of the CDC Office of
the Associate Director for Policy, Office
of Health System Collaboration: (a)
Identify and catalyze policy
opportunities such as the Affordable
Care Act to enhance healthcare
transformation, (b) advance CDC’s
public health-healthcare strategy to
improve population health, (c)
strengthen strategic partnerships with
healthcare systems and payers, federal
and non-federal, and (d) fully leverage
performance measures as a tool to
improve the health of individuals across
health systems and payers.
The CDC Office of the Associate
Director for Policy intends to request
that the Office of Management and
Budget (OMB) approve a new collection
of information under the Paperwork
Reduction Act for three years. This data
collection will occur once, and
respondents will be surveyed once.
A sample of approximately 150
commercial health insurance plans in
the United States that differ by size and
geography, in the 50 states and the
District of Columbia, will be selected to
complete a web-based survey, the
Prevention and Wellness Assessment
Survey. The survey will be completed
electronically; the burden should be
minimal as compared to a paper-andpencil survey. Information about the
survey and instructions will be
provided to health plan points of
contact in advance and will also be
available on the Web site, eliminating
any interactions between the respondent
and the project team, unless a
respondent(s) has questions or concerns
during completion of the survey.

health plan points of contact, and health
plan respondents (e.g., physicians,
nurses, other healthcare professionals)
and administrative support staff for this
data collection is 234 hours.
Best practices in outreach will be
utilized to maximize survey response
rates. Key health plan contacts at nonresponding health plans will receive
follow up by telephone and one-to-one
assistance will be provided if needed.
The results of this study are of great
interest not only to the CDC Office of
the Associate Director for Policy but to
other CDC Centers, Institutes, and
Offices; and other federal agencies and
partners such as the Health Resources
and Services Administration (HRSA),
the members of the CDC Advisory
Committee to the Director, and the CDC
Public Health-Health Care Collaboration
Workgroup (federal, state, and local
public health; public and private
organizations; healthcare providers;
professional membership associations;
and academia representation). The
government intends to accomplish the
following as a result of this data
collection: (a) Identify high priority
opportunities for public health and
healthcare collaboration, (b) inform a
public health-healthcare strategic
agenda, (c) improve the use of clinical
preventive services, and (d) improve
capacity of healthcare systems to
incorporate public health practices and
principles. At the conclusion of this
study, a formal report, two issue briefs,
and potentially a manuscript for
publication will be produced.
CDC is requesting approval for
approximately 234 burden hours
annually. There are no costs to
respondents other than their time.

The survey will take approximately
30 minutes to complete per respondent
for a total estimated burden of 75 hours.
Some burden associated with
coordinating the time and identifying a
person to take the survey will be
imposed on key health plan contacts
(e.g., medical directors, nurse directors,
or other healthcare professional). The
burden associated with this activity is
estimated at 30 minutes per key health
plan contact for a maximum of one key
contact per health plan (1 key contact ×
150 health plans = 150 key contacts),
resulting in a total burden of 75 hours.
In addition, administrative support staff
at select health plans may assist with
coordinating communications between
key health plan points of contact and
AHIP; the estimated burden is 30
minutes per health plan, resulting in a
total burden of 75 hours.
Following the analysis of survey data,
the project team will conduct one-hour
telephone interviews with no more than
nine health plans (1 hour × 9 health
plans) to gain a better understanding of
lessons learned and best practices
associated with the design and
implementation of prevention and
wellness programs by commercial
health insurance plans. The project
team will use this information to build
upon the knowledge gained through the
survey. For example, there may be
differences in how health plans
structure prevention and wellness
programs for different employer
accounts based on employer requests.
The estimated burden is 1 hour per
health plan, resulting in a total burden
of 9 hours.
As shown in the burden table, the
total burden calculation in hours for key

asabaliauskas on DSK4SPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Number
respondents

Number
responses per
respondent

Average
burden per
response
(in hours)

Total burden
hours

Type of respondent

Form name

Physician,
Nurse,
or
Other
Healthcare Professional (To Complete Survey).
Key Health Plan Contact ..................
Administrative Support ......................
Physician,
Nurse,
or
Other
Healthcare Professional (To Complete 1-hour Interview Post Survey).

Prevention and Wellness Assessment Survey.

150

1

30/60

75

N/A ...................................................
N/A ...................................................
N/A ...................................................

150
150
9

1
1
1

30/60
30/60
1

75
75
9

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

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

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

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

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

234

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64199

Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 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. 2014–25561 Filed 10–27–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–15–0213]

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

data have been published since 1937
and are the sole source of these data at
the National level. The data are used by
the Department of Health and Human
Services and by other government,
academic, and private research and
commercial organizations in tracking
changes in trends of vital events.
Respondents for the Monthly Vital
Statistics Reports Form are registration
officials in each State and Territory, the
District of Columbia, and New York
City. In addition, local (county) officials
in New Mexico who record marriages
occurring and divorces and annulments
granted in each county of New Mexico
will use this form. This form is also
designed to collect counts of monthly
occurrences of births, deaths, infant
deaths, marriages, and divorces
immediately following the month of
occurrence.
The Annual Vital Statistics
Occurrence Report Form collects final
annual counts of marriages and divorces
by month for the United States and for
each State. The statistical counts
requested on this form differ from
provisional estimates obtained on the
Monthly Vital Statistics Report Form in
that they represent complete counts of
marriages, divorces, and annulments
occurring during the months of the prior
year. These final counts are usually
available from State or county officials
about eight months after the end of the
data year. The data are widely used by
government, academic, private research,
and commercial organizations in
tracking changes in trends of family
formation and dissolution. Respondents
for the Annual Vital Statistics
Occurrence Report Form are registration
officials in each State and Territory, the
District of Columbia, and New York
City.
There are no costs to respondents
other than their time. The total
estimated annualized burden hours are
211.

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 60 days of this
notice.
Proposed Project
National Vital Statistics Report Forms
(OMB No. 0920–0213, expires 04/30/
2015)—Extension—National Center for
Health Statistics (NCHS), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The compilation of national vital
statistics dates back to the beginning of
the 20th century and has been
conducted since 1960 by the Division of
Vital Statistics of the National Center for
Health Statistics, CDC. The collection of
the data is authorized by 42 U.S.C. 242k.
This submission requests approval to
collect the monthly and annually
summary statistics for three years.
The Monthly Vital Statistics Report
forms provide counts of monthly
occurrences of births, deaths, infant
deaths, marriages, and divorces. Similar

asabaliauskas on DSK4SPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Average
burden per
response
(in hours)

Total
burden
hours

Type of respondent

Form name

State, Territory, and New Mexico
County Officials.
State, Territory, and other officials ...

Monthly Vital Statistics Report .........

91

12

10/60

182

Annual Vital Statistics Occurrence
Report.

58

1

30/60

29

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

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

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

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

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

211

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