Federal Register Notice

63890

Federal Register / Vol. 83, No. 238 / Wednesday, December 12, 2018 / Notices

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–0976; Docket No. CDC–2018–
0112]

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:

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 the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Million Hearts® Hypertension
Control Challenge, a program designed
to identify clinical practices and health
systems that have been successful in
achieving high rates of hypertension
control and to develop models for
dissemination of successful strategies to
control hypertension.
DATES: CDC must receive written
comments on or before February 11,
2019.
SUMMARY:

You may submit comments,
identified by Docket No. CDC–2018–
0112 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, 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 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 Jeffrey M. Zirger,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road, NE, MS–

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ADDRESSES:

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D74, Atlanta, Georgia 30329; phone:
404–639–7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: 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 the 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,
e.g., permitting electronic submissions
of responses.
5. Assess information collection costs.
Proposed Project
Million Hearts® Hypertension Control
Challenge (OMB No. 0920–0976, exp.
12/31/2019—Revision—National Center
for Chronic disease Prevention and
Health Promotion (NCCDPHP), Centers
for Disease Control and Prevention
(CDC).
Background and Brief Description
Cardiovascular disease is a leading
cause of death for men and women in
the United States, among the most
costly health problems facing our nation
today, and among the most preventable.
Heart disease and stroke also contribute
significantly to disability. High blood
pressure, also known as hypertension, is
one of the leading causes of heart
disease and stroke. Currently, about 75

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million American adults have high
blood pressure but only about half
(48%) have adequately controlled blood
pressure. The costs of hypertension are
estimated at $48.9 billion annually in
direct medical costs.
In September 2011, CDC launched the
Million Hearts® initiative to prevent one
million heart attacks and strokes by
2017. In January 2018, CDC launched
Million Hearts® 2022 to continue to
prevent one million heart attacks,
strokes, and related health conditions.
In order to achieve this goal, at least 10
million more Americans must have their
blood pressure under control. Million
Hearts® is working to reach this goal
through the promotion of clinical
practices that are effective in increasing
blood pressure control among patient
populations. There is scientific evidence
that provides general guidance on the
types of system-based changes to
clinical practice that can improve
patient blood pressure control, but
additional information is needed to
fully understand implementation
practices so that they can be shared and
promoted.
In 2013, CDC launched the Million
Hearts® Hypertension Control
Challenge, authorized by Public Law
111–358, the America Creating
Opportunities to Meaningfully Promote
Excellence in Technology, Education
and Science Reauthorization Act of
2010 (COMPETES Act). The Challenge
is designed to help CDC (1) identify
clinical practices and health systems
that have been successful in achieving
high rates of hypertension control, and
(2) develop models for dissemination.
The Challenge is open to single practice
providers, group practice providers, and
healthcare systems. Providers whose
hypertensive population achieves
exemplary levels of hypertension
control are recognized as Million
Hearts® Hypertension Control
Champions.
Interested clinicians or practices
complete a web-based application form
which collects the minimum amount of
data needed to demonstrate
hypertension control among their adult
patients, including: (a) Two point-intime measures of the clinical
hypertension control rate for the patient
population, (b) the size of the clinic
population served, (c) a brief
description of the characteristics of the
patient population served and
geographic location, and (d) a
description of the sustainable systems
and strategies adopted to achieve and
maintain hypertension control rates.
The estimated burden for completing
the application form is 30 minutes. CDC
scientists or contractors review each

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Federal Register / Vol. 83, No. 238 / Wednesday, December 12, 2018 / Notices
application form and rank applications
by reported hypertension control rate.
In the second phase of assessment,
applicants with the highest preliminary
scores are asked to participate in a twohour data verification and validation
process. The applicant reviews the
application form with a reviewer,
describes how information was obtained
from the providers’, practices’, or
healthcare systems’ electronic records,
chart reviews, or other sources, and
reviews the methodology used to
calculate the reported hypertension
control rate. Data verification and
validation is conducted to ensure that
all applicants meet eligibility criteria
and assure accuracy of their reported
hypertension control rate according to a
standardized method. Applicants must
have achieved a hypertension control
rate of at least 80% among their adult
patients aged 18–85 years with
hypertension.
Finalists who pass the data
verification and validation process and
background check will be reviewed by
a CDC panel of judges to determine the
Champion status. Several Champions
will be asked to participate in a onehour, semi-structured interview and
provide detailed information about the
patient population served, the
geographic region served, and the
strategies employed by the practice or
health system to achieve exemplary
rates of hypertension control, including

barriers and facilitators for those
strategies. Based on the information
collected for Challenges in 2013 through
2017, CDC recognized a total of 83
public and private health care practices
and systems as Million Hearts®
Hypertension Control Champions. The
Champions are announced roughly
annually, approximately six months
after the Challenge application period
ends. The current OMB approval for
information collection expires
December 31, 2019.
CDC plans to continue the Million
Hearts® Hypertension Control Challenge
through 2022 with revisions. The 2020
Challenge is planned to launch in
February 2020, coinciding with
American Heart Month. The application
period will be open for approximately
45–60 days, with recognition of the
2020 Champions in the fall of 2020. A
similar calendar year schedule is
planned for 2021 and 2022. Revision for
2020, 2021, and 2022 includes a
reduction in the estimated number of
respondents. During the period of this
Renewal request, on an annual basis,
CDC estimates that information will be
collected from up to 200 applicants
using the application form, at most 40
data verifications, and at most 35 semistructured interviews. There is an
overall reduction in estimated
annualized burden hours.
The overall goal of the Million
Hearts® initiative is to prevent one

million heart attacks and strokes, and
controlling hypertension is one focus of
the initiative. CDC will use the
information collected through the
Million Hearts® Hypertension Control
Challenge to increase widespread
attention to hypertension at the clinical
practice level, improve understanding of
successful and sustainable
implementation strategies at the practice
or health system level, bring visibility to
organizations that invest in
hypertension control, and motivate
individual practices to strengthen their
hypertension control efforts.
Information collected through the
Million Hearts® Hypertension Control
Challenge will link success in clinical
outcomes of hypertension control with
information about strategies that can be
used to achieve similar favorable
outcomes so that the strategies can be
replicated by other providers and health
care systems.
OMB approval for a revision is
requested for three years. CDC estimates
that up to 200 applicants will submit an
application covered by this information
collection each year. It is estimated that
information collection activities will
total 215 burden hours per year. This
represents a decrease in the estimated
annualized burden hours from 370
hours to 215 hours. There is no cost to
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Physicians,
Practices,
and
healthcare systems.
Finalists .............................................
Champions ........................................

Million Hearts® Hypertension Control Champion Application form.
Data Verification Form .....................
Semi-structured interview guide .......

200

1

30/60

100

40
35

1
1

2
1

80
35

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

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

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

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

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

215

Jeffrey M. Zirger,
Acting Lead, Information Collection Review
Office, Office of Scientific Integrity, Office
of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2018–26876 Filed 12–11–18; 8:45 am]
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Number of
responses per
respondent

Number of
respondents

Type of respondents

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Administration on Intellectual and
Developmental Disabilities, President’s
Committee for People With Intellectual
Disabilities
Administration for Community
Living, HHS.
ACTION: Notice of rescheduled meeting
due to the closure of federal offices on
December 5, 2018.
AGENCY:

The President’s Committee
for People with Intellectual Disabilities

SUMMARY:

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(PCPID) will host a webinar/conference
call for its members to discuss the
potential topics of the Committee’s 2019
Report to the President. All the PCPID
meetings, in any format, are open to the
public. This virtual meeting will be
conducted in a discussion format.
Webinar/Conference Call:
Wednesday, December 12, 2018 from
9:00 a.m. to 10:00 a.m. (EST).

DATES:

For
further information and
accommodations needs, please contact
Ms. Allison Cruz, Director, Office of
Innovation, 330 C Street SW, Switzer
Building, Room 1114, Washington, DC

FOR FURTHER INFORMATION CONTACT:

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