60-day Federal Register Notice

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Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices
rehabilitation, stroke specialist care, and
primary care providers.
When Congress directed the CDC to
establish the Paul Coverdell National
Acute Stroke Program (PCNASP) in
2001, CDC intended to monitor trends
in stroke and stroke care, with the
ultimate mission of improving the
quality of care for stroke patients in the
United States. Since 2015, CDC has
funded and provided technical
assistance to nine state health
departments to develop comprehensive
stroke systems of care. A comprehensive
system of care improves quality of care
by creating seamless transitions for
individuals experiencing stroke. In such
a system, pre-hospital providers, inhospital providers, and early posthospital providers coordinate patient
hand-offs and ensure continuity of care.
CDC contracted with RTI International
to conduct an assessment of the state
health departments awarded grants in
2015 to assess their implementation in
their state-based contexts and progress
toward short- and intermediate-term
outcomes.

CDC and RTI International propose to
collect information from all nine funded
PCNASP grantees to gain insight into
the effectiveness of implementation of
their quality improvement strategies,
development (and use) of a data
integrated management system, and
partner collaboration in building
comprehensive state-wide stroke
systems of care. The information
collection will focus on describing
PCNASP specific contributions to
effective state-based stroke systems of
care and the costs associated with this
work. Two components of the
information collection include: (1)
Program implementation cost data
collection from program partners using
a cost and resource utilization tool; and
(2) telephone interviews with key
program stakeholders, such as the
PCNASP principal investigator, program
manager, quality improvement
specialist, data analyst/program
evaluator, and partner support staff.
Cost data collection will focus on a
stratified sample of partners’ cumulative
spending to support PCNASP activities,

spending by reporting period, and
spending associated with specific
PCNASP strategies related to building
comprehensive state-wide stroke
systems of care. Interview questions will
target how each grantee implemented its
strategies, challenges encountered and
how they were overcome, factors that
facilitated implementation, lessons
learned along the way, and observed
outcomes and improvements. The
information to be collected does not
currently exist for large scale, statewide
programs that employ multiple
combinations of strategies led by state
public health departments to build
comprehensive stroke systems of care.
The insights to be gained from this data
collection will be critical to improving
immediate efforts and achieving the
goals of spreading and replicating statelevel strategies that are proven
programmatically and are cost-effective
in contributing to a higher quality of
care for stroke patients.
The total estimated annual burden
hours are 328. There are no costs to the
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Partner Program Manager ..............................
Principal Investigator .......................................
Grantee Program Manager .............................
Quality Improvement Specialist ......................
Data Analyst/Program Evaluator ....................
Partner Support Staff ......................................

Cost Resource and Utilization Tool ...............
Telephonic Interviews ....................................
Telephonic Interviews ....................................
Telephonic Interviews ....................................
Telephonic Interviews ....................................
Telephonic Interviews ....................................

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. 2018–08165 Filed 4–18–18; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day-18–18XG; Docket No. CDC–2018–
0034]
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Number of
respondents

Type of respondents

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, 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. This notice invites
comment on a proposed information
collection project titled ‘‘Evaluation of
the third decade of the National
Occupational Research Agenda (NORA)
Council Effectiveness’’. This is a survey
to collect information from NORA
council members and leaders about
council activities and satisfaction with
council functioning.
DATES: Written comments must be
received on or before June 18, 2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0034 by any of the following methods:
SUMMARY:

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137
3
3
3
3
6

Number of
responses per
respondent
1
1
1
1
1
1

Average
burden per
response
(in hours)
2
1
1
1
1
1

• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all Federal
comments through the Federal
eRulemaking portal (regulations.gov) or
by U.S. mail to the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Leroy A.
Richardson, Information Collection
Review Office, Centers for Disease
Control and Prevention, 1600 Clifton

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Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices

Road, NE, MS–D74, Atlanta, Georgia
30329; phone: 404–639–7570; Email:
[email protected].

e.g., permitting electronic submissions
of responses.
5. Assess information collection costs.

Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,

Proposed Project
Evaluation of the third decade of the
National Occupational Research Agenda
(NORA) Council Effectiveness—New—
National Institute for Occupational
Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).

SUPPLEMENTARY INFORMATION:

structure of councils. Each of the 17
councils develops and maintains an
agenda for the decade for its sector. The
sector agendas become part of the
national agenda for improvements in
occupational safety and health through
research and partnerships. Representing
all stakeholders, the councils use an
open process to set research objectives,
share information, encourage
partnerships, and promote improved
workplace practices.
NIOSH seeks to request a 12-month
Office of Management and Budget
(OMB) approval to administer a survey
to NORA council members and leaders.
As the steward of NORA, it is NIOSH’s
responsibility to ensure that councils,
which are central to the work of NORA,
are operating well. Without this data
collection, NIOSH’s internal review of
NORA would lack critical stakeholder
input from its many non-Federal
partners.
The target population is all current
and former members and leaders of each
of the 17 NORA councils in the third
decade of NORA. The web-based survey
requests information on council
activities, the effectiveness of the
council and its processes, and
suggestions for improving the
effectiveness and impact of NORA
councils in the future. Without this data
collection, NIOSH’s internal
management review of NORA would
lack critical stakeholder input from its
many non-Federal partners.
NIOSH has developed a 17-item
survey and will send to approximately
425 non-Federal NORA Sector council
members or leaders. NIOSH estimates
that it will take 12 minutes to complete
the survey.
There are no costs to respondents
other than their time. The total
estimated time burden is 85 hours.

Background and Brief Description
The National Institute for
Occupational Safety and Health
(NIOSH) is responsible for conducting
research and making recommendations
to prevent worker injury and illness, as
authorized in Section 20(a)(1) of the
Occupational Safety and Health Act (29
U.S.C. 669). In 1995–1996, NIOSH saw
an opportunity to enhance its ability to
accomplish its mission through
partnerships that involved a broad
national stakeholder base in
occupational safety and health. With
stakeholder input, NIOSH developed
and launched a partnership program
titled the National Occupational
Research Agenda (NORA) in 1996.
Participation in NORA includes
stakeholders from universities, large and
small businesses, professional societies,
government agencies, and worker
organizations. NORA runs in ten year
cycles, with the first decade running
1996–2006, the second 2006–2016, and
the third 2016–2026.
The structure of NORA has evolved
over time, and now, in the third decade,
it is organized into ten industry sectors
based on major areas of the U.S.
economy, and seven health and safety
cross-sectors organized according to the
major health and safety issues affecting
the U.S. working population. The work
of the sectors and cross-sectors is
managed through a partnership

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Average
burden per
response
(in hours)

Total
burden
(in hours)

Type of respondents

Form name

Non-federal NORA Council members
or leaders.

Council Survey .................................

425

1

12/60

85

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

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

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

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

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

85

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Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / 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. 2018–08147 Filed 4–18–18; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–18–0278]

Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled National
Hospital Ambulatory Medical Care
Survey (NHAMCS) to the Office of
Management and Budget (OMB) for
review and approval. CDC previously
published a ‘‘Proposed Data Collection
Submitted for Public Comment and
Recommendations’’ notice on November
27, 2017 to obtain comments from the
public and affected agencies. CDC
received one comment related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
CDC will accept all comments for this
proposed information collection project.
The Office of Management and Budget
is particularly interested in comments
that:
(a) Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
(b) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected;

(d) Minimize the burden of the
collection of information on those who
are to respond, including, through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and
(e) Assess information collection
costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to [email protected]. Direct
written comments and/or suggestions
regarding the items contained in this
notice to the Attention: CDC Desk
Officer, Office of Management and
Budget, 725 17th Street NW,
Washington, DC 20503 or by fax to (202)
395–5806. Provide written comments
within 30 days of notice publication.
Proposed Project
National Hospital Ambulatory
Medical Care Survey (NHAMCS) (OMB
Control Number 0920–0278, Expiration
02/28/2018)—Reinstatement with
change—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
statistics on ‘‘utilization of health care’’
in the United States. The National
Hospital Ambulatory Medical Care
Survey (NHAMCS) has conducted
annually since 1992. NCHS is seeking
OMB approval to reinstate this survey
for an additional three years, following
a brief discontinuation on February 28,
2018.
The target universe of the NHAMCS is
in-person visits made to emergency
departments (EDs) of non-Federal, shortstay hospitals (hospitals with an average
length of stay of less than 30 days) that
have at least six beds for inpatient use,
and with a specialty of general and

medical, maternity, children’s general,
or long term acute care.
NHAMCS was initiated to
complement the National Ambulatory
Medical Care Survey (NAMCS, OMB
Control Number 0920–0234, Expiration
03/31/2019), which provides similar
data concerning patient visits to
physicians’ offices. NAMCS and
NHAMCS are the principal sources of
data on ambulatory care provided in the
United States.
NHAMCS provides a range of baseline
data on the characteristics of the users
and providers of hospital ambulatory
medical care. Data collected include
patients’ demographic characteristics,
reason(s) for visit, providers’ diagnoses,
diagnostic services, medications, and
disposition. These data, together with
trend data, may be used to monitor the
effects of change in the health care
system, for the planning of health
services, improving medical education,
determining health care work force
needs, and assessing the health status of
the population.
Starting 2018, CDC will implement
just the ED component of NHAMCS.
However, once reinstated the 2017
survey will run concurrently with the
2018 survey until the final months of
pending 2017 data collection have been
completed. This is typical with any data
collection cycle: It begins in the last
month of the preceding year and ends
around the middle of the following year.
For the 2017 data collection, CDC will
collect information on all three settings
(ED, OPD, and ASL). For this three-year
request, CDC does not expect
substantive changes or supplements for
the survey.
Users of NHAMCS data include, but
are not limited to, congressional offices,
Federal agencies, state and local
governments, schools of public health,
colleges and Universities, private
industry, nonprofit foundations,
professional associations, clinicians,
researchers, administrators, and health
planners.
There are no costs to the respondents
other than their time. The total
estimated annualized burden hours are
1,251.

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondents

Form name

Hospital Chief Executive Officer .....................
Hospital Chief Executive Officer .....................
Ancillary Service Executive .............................

Hospital Induction 2017 Data Collection ........
Hospital Induction 2018+ Data Collection .....
Ambulatory Unit Induction (ED, OPD and
ASL).
Ambulatory Unit Induction (ED only) .............

Ancillary Service Executive .............................

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Number of
responses per
respondent

Average
burden per
response
(in hours)

20
340
840

1
1
1

75/60
45/60
15/60

578

1

15/60

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