60 day FRN

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Federal Register / Vol. 85, No. 15 / Thursday, January 23, 2020 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of respondent

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

1
1

45/60
10/60

23
50

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

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

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

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

18,733

BILLING CODE 4163–18–P

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

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 Developmental Studies to Improve
the National Health Care Surveys. The
purpose of this generic information
collection request is to conduct
developmental studies on survey design
and data collection activities that are
part of the National Health Care Surveys
(NHCS).
DATES: CDC must receive written
comments on or before March 23, 2020.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2020–
0003 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
SUMMARY:

Jkt 250001

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

FOR FURTHER INFORMATION CONTACT:

[60Day–20–1030; Docket No. CDC–2020–
0003]

jbell on DSKJLSW7X2PROD with NOTICES

Total burden
(in hr)

30
300

[FR Doc. 2020–01042 Filed 1–22–20; 8:45 am]

17:13 Jan 22, 2020

Average
burden per
response
(in hr)

Survey Pre-tests ...............................
Testing Activities ..............................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.

VerDate Sep<11>2014

Number of
responses per
respondent

Number of
respondents

Form name

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;

SUPPLEMENTARY INFORMATION:

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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
Developmental Studies to Improve the
National Health Care Surveys (OMB
Control No. 0920–1030, Exp. 04/30/
2020)—Extension—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 the Secretary of
Health and Human Services (DHHS),
acting through the Division of Health
Care Statistics (DHCS) within NCHS,
shall collect statistics on the extent and
nature of illness and disability of the
population of the United States.
The DHCS conducts the National
Health Care Surveys, a family of
nationally representative surveys of
encounters and health care providers in
inpatient, ambulatory, and long-term
care settings. This information
collection request (ICR) is for the
extension of a generic clearance to
conduct developmental studies to
improve this family of surveys. This
three-year clearance period will include
studies to evaluate and improve upon
existing survey design and operations,
as well as to examine the feasibility of,
and address challenges that may arise
with, future expansions of the National
Health Care Surveys.
Specifically, this request covers
developmental research with the
following aims: (1) To explore ways to
refine and improve upon existing survey
designs and procedures; and (2) to
explore and evaluate proposed survey
designs and alternative approaches to
data collection. The goal of these

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3919

Federal Register / Vol. 85, No. 15 / Thursday, January 23, 2020 / Notices
research studies is to further enhance
DHCS existing and future data
collection protocols to increase research
capacity and improve health care data
quality for the purpose of monitoring
public health and well-being at the
national, state and local levels, thereby
informing the health policy decisionmaking process. The information
collected through this generic ICR will
not be used to make generalizable
statements about the population of
interest or to inform public policy;
however, methodological findings may
be reported.
This generic ICR would include
studies conducted in person, via the
telephone or internet, and by postal or
electronic mail. Methods covered would
include qualitative (e.g., usability
testing, focus groups, ethnographic
studies, and respondent debriefing
questionnaires) and/or quantitative (e.g.,
pilot tests, pre-tests and split sample
experiments) research methodologies.
Examples of studies to improve existing
survey designs and procedures may
include evaluation of incentive
approaches to improve recruitment and
increase participation rates; testing of
new survey items to obtain additional
data on providers, patients, and their
encounters while minimizing
misinterpretation and human error in
data collection; testing data collection in
panel surveys; triangulating and
validating survey responses from
multiple data sources; assessment of the
feasibility of data retrieval; and
development of protocols that will
locate, identify, and collect accurate
survey data in the least labor-intensive
and burdensome manner at the sampled
practice site.
To explore and evaluate proposed
survey designs and alternative
approaches to collecting data, especially
with the nationwide adoption of
electronic health records, studies may
expand the evaluation of data extraction
of electronic health records and
submission via continuity of care

Care Survey (NHAMCS) may investigate
the addition of facility and patient
information especially as it relates to
insurance and electronic medical
records.
Projects under development or in the
planning stages include two projects
related to opioid use: One that will
investigate adding questions to NAMCS
on physician understanding of
guidelines for opioid use and one that
will test the validation of an algorithm
for identifying opioid-involved hospital
visits. Another study will develop a
Hospital-Based Victim Services Frame.
The National Health Care Surveys
collect critical, accurate data that are
used to produce reliable national
estimates—and in recent years (when
budget allows), state-level estimates—of
clinical services and of the providers
who delivered those services in
inpatient, ambulatory, and long-term
care settings. The data from these
surveys are used by providers, policy
makers and researchers to address
important topics of interest, including
the quality and disparities of care
among populations, epidemiology of
medical conditions, diffusion of
technologies, effects of policies and
practice guidelines, and changes in
health care over time. Research studies
need to be conducted to improve
existing and proposed survey design
and procedures of the National Health
Care Surveys, as well as to evaluate
alternative data collection approaches
particularly due to the expansion of
electronic health record use, and to
develop new sample frames of currently
out-of-scope providers and settings of
care. There is no cost to respondents
other than their time to participate.
Average burdens are designed to cover
15–40 min interviews as well as 90minute focus groups, longer on-site
visits, and situations where
organizations may be preparing
electronic data files. The total estimated
annualized burden hours are 7,085.

documentation to small/mid-size/large
medical providers and hospital
networks, managed care health plans,
prison-hospitals, and other inpatient,
ambulatory, and long-term care settings
that are currently either in-scope or outof-scope of the National Health Care
Surveys. Research on feasibility, data
quality and respondent burden also may
be carried out in the context of
developing new surveys of health care
providers and establishments that are
currently out-of-scope of the National
Health Care Surveys. Specific
motivations for conducting
developmental studies include: (1)
Within the National Ambulatory
Medical Care Survey (NAMCS), new
clinical groups may be expanded to
include dentists, psychologists,
podiatrists, chiropractors, optometrists),
mid-level providers (e.g., physician
assistants, advanced practice nurses,
nurse practitioners, certified nurse
midwives) and allied-health
professionals (e.g., certified nursing
aides, medical assistants, radiology
technicians, laboratory technicians,
pharmacists, dieticians/nutritionists).
Current sampling frames such as those
from the American Medical Association
may be obtained and studied, as well as
frames that are not currently in use by
NAMCS, such as state and
organizational listings of other licensed
providers. (2) Within the National Study
of Long-Term Care Providers, additional
new frames may be sought and
evaluated and data items from home
care agencies, long-term care hospitals,
and facilities exclusively serving
individuals with intellectual/
developmental disability may be tested.
Similarly, data may be obtained from
lists compiled by states and other
organizations. Data about the facilities
as well as residents and their visits will
be investigated. (3) In the inpatient and
outpatient care settings, the National
Hospital Care Survey (NHCS) and the
National Hospital Ambulatory Medical

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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

Health Care Providers and Business
entities.

6,667

1

1

6,667

Health Care Providers, State/local
government agencies, and business entities.

Interviews, surveys, focus groups,
experiments (in person, phone,
internet, postal/electronic mail).
Interviews, surveys, focus groups,
experiments (in person, phone,
internet, postal/electronic mail).

418

1

2.5

418

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

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

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

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

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

7,085

VerDate Sep<11>2014

17:13 Jan 22, 2020

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Federal Register / Vol. 85, No. 15 / Thursday, January 23, 2020 / Notices

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–01052 Filed 1–22–20; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–20–20EN; Docket No. CDC–2019–
0116]

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 ‘‘Identifying Information Needs
and Communication Channels for
Reaching At-Risk Populations During
Emergencies’’. This information
collections aims to understand the
preferences, needs, and challenges of
persons with limited English
proficiency (LEP) in accessing and
understanding health protection
information during an infectious disease
emergency as well as persons who will
likely help them navigate and
understand health information during
an outbreak: Family, physicians, staff at
community-based organizations, and
staff at local public health agencies.
DATES: CDC must receive written
comments on or before March 23, 2020.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0116 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

jbell on DSKJLSW7X2PROD with NOTICES

SUMMARY:

VerDate Sep<11>2014

17:13 Jan 22, 2020

Jkt 250001

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–
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
Identifying Information Needs and
Communication Channels for Reaching
At-Risk Populations During
Emergencies—New—Center for

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Preparedness and Response (CPR),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Nearly one tenth of the United States
population over age five, or more than
25.9 million people, have limited
English proficiency (LEP). Persons with
LEP are disproportionately vulnerable to
negative health outcomes, particularly
in infectious disease emergencies.
Communicating with such persons
quickly and effectively in an emergency
is essential, as it can encourage them to
take protective personal actions like
hand-washing or vaccination. These
actions can protect persons with LEP
and their friends and family members
while reducing the spread and scale of
the outbreak.
Despite widespread recognition of
risks for persons with LEP in outbreaks
and the importance of effective
emergency risk communication, current
guidelines are insufficient. Further, the
empirical evidence to develop such
guidelines is extremely limited. There is
little understanding of persons with
LEP’s communication needs in
emergencies, particularly from their
own perspective and in their own voice.
There is little data about preferences for
and trust in information sources,
communication channels, or formats—
particularly social media—nor data fully
describing barriers in accessing
information. There is also little
discussion of how the sociocultural
context or social determinants play a
role. Without evidence-based guidelines
that address such central issues, it can
be extremely challenging to create a
communication or behavior change
strategy, drive related programming, or
develop messages and materials. This is
especially true in the high-pressure
moments of infectious disease
emergencies, where time is limited, the
science is evolving, and organizations
have competing priorities.
This research effort will provide CDC
with information about the preferences,
needs, and challenges of persons with
LEP in accessing and understanding
health protection information during an
infectious disease emergency. The
findings will be used to develop
evidence-based emergency risk
communication recommendations for
CDC and state, local and territorial
public health agencies. The results will
be used to help ensure LEP-focused
communications are effective, prevent
delays, reduce inequities in health
outcomes, and help contain infectious
disease outbreaks that affect LEP
communities and the broader public.
The proposed study utilizes a rigorous

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