60 Day FRN

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Federal Register / Vol. 84, No. 101 / Friday, May 24, 2019 / Notices

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 is requesting a 12-month 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.
NIOSH will invite approximately 425
non-Federal NORA Sector council
members to complete the web-based
survey. Participation is voluntary and
the estimated burden per response is 12
minutes. Based on experience with
similar information collections, NIOSH
estimates receipt of 225 completed
responses. There are no costs to
respondents other than their time. The
total estimated annualized burden is 45
hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Non-federal NORA Council members or leaders ...................

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

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–10833 Filed 5–23–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–19ARD; Docket No. CDC–2019–
0037]

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 information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled ‘‘An Evaluation
of CDC’s STEADI Older Adult Fall
Prevention Initiative in a Primary Care
Setting.’’ This new data collection effort
is an essential component to determine
the impact of CDC’s Stopping Elderly
Accidents, Deaths, and Injuries
(STEADI) initiative on falls, emergency

SUMMARY:

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Number of
respondents

Type of respondents

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department visits, and hospitalizations
due to falls.
DATES: CDC must receive written
comments on or before July 23, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0037 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.

To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Jeffery 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
FOR FURTHER INFORMATION CONTACT:

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Number of
responses per
respondent

225

1

Average
burden per
response
(in hours)
12/60

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
Evaluation of CDC’s STEADI Older
Adult Fall Prevention Initiative in a
Primary Care Setting—New—National
Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control
and Prevention (CDC).

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Federal Register / Vol. 84, No. 101 / Friday, May 24, 2019 / Notices
Background and Brief Description
Falls are the leading cause of both
fatal and non-fatal injuries among older
adults, defined as age 65 and older.
From 2007 to 2016, fall death ageadjusted rates increased by 31% with
almost 30,000 older adults dying as the
result of a fall in 2016. The economic
consequences of falls are significant and
growing as the population ages, with
medical costs of older adult falls
estimated at $50 billion. CDC created
the Stopping Elderly Accidents, Deaths,
and Injuries (STEADI) initiative to guide
health care providers’ fall prevention
activities in the primary care setting.
This new data collection effort is an
essential component to determine the
impact of CDC’s Stopping Elderly
Accidents, Deaths, and Injuries
(STEADI) initiative on falls, emergency
department visits, and hospitalizations
due to falls. It will help CDC determine
the impact of less resource intense
versions of STEADI, and evaluate the
process of implementing STEADI fall
prevention initiative in a primary care
setting to provide context for the impact
evaluations. The study population will
be limited to adults 65 and older who
have an outpatient visit during the

they can accurately recall and report the
information during the 12-month period
for the patient surveys. The process
evaluation interviews will be used to
understand the attitudes of clinical staff
towards the implementation process,
barriers and facilitators to
implementation, and the
implementation fidelity to core
components of the STEADI initiative.
Descriptive statistics and cross
tabulations will be used to describe
quantitative data from the patient
survey and process evaluation data. Risk
ratios of the effect of the intervention on
post-intervention falls will be calculated
comparing intervention and control
groups while controlling for
demographic, health, attitude, and
behavior variables.
The data collected from this study
will be used to: Demonstrate the impact
of STEADI and different components of
STEADI on falls and fall injuries in a
primary care setting and improve the
implementation of STEADI in a primary
care setting. There are no costs to the
respondents other than their time. The
total estimated annualized burden hours
is 3,836.

study period and screen as high risk for
falls at the selected primary care clinics
implementing the STEADI fall
prevention initiative. The study
population for the process evaluation
will include the clinical implementation
staff at the selected clinics where the
intervention will take place (physicians,
physician assistants/nurse practitioners,
study research nurses, and practice or
operations manager).
Two data collection methods will be
used; the CDC’s Stay Independent Fall
Risk Screener will be administered to
older adult patients at selected primary
care clinics to determine which older
adults are at high risk for a fall. Those
who screen at high risk will be assigned,
based on clinic attended and week of
attendance, to one of three study arms.
Patient surveys will be used to
determine whether or not these patients
experience a fall during the study
period, are treated for a fall, and/or use
any fall prevention strategies throughout
the study period. Four surveys will be
administered to each patient during a
12-month period: One baseline survey
and three follow-up surveys. Older
adults will also be asked to keep track
of their falls in a monthly falls diary, so

ESTIMATED ANNUALIZED BURDEN HOURS
Total burden
(hours)

Form name

Patient ...............................................

Stay Independent Fall Risk Screener.
Patient Consent Form ......................
Patient Baseline Survey ...................
Patient Follow-up Survey .................
Patient Falls Diary ............................
Nurse Interview Guide/Consent .......
Provider Interview Guide/Consent ...

5,093

1

10/60

849

* 1,333
1,000
896
896
1
3

1
1
3
12
1
1

12/60
15/60
15/60
10/60
1
1

267
250
672
1,792
1
3

Operations Manager Guide/Consent

2

1

1

2

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

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

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

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

3,836

Nurse .................................................
Physician/Physician
Assistants/
Nurse Practitioners.
Clinic operations Manager ................
Total ...........................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–10838 Filed 5–23–19; 8:45 am]
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Average
burden per
response
(hours)

Number of responses per
respondent

Number of
respondents

Type of respondent

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Board of Scientific Counselors, Office
of Public Health Preparedness and
Response (BSC, OPHPR); Correction
Notice is hereby given of a change in
the meeting of the Board of Scientific
Counselors, Office of Public Health
Preparedness and Response (BSC,
OPHPR); April 24 2019, 10:30 a.m. to
5:00 p.m., EDT; April 25, 2019, 8:30
a.m. to 3:00 p.m., EDT which was
published in the Federal Register on

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March 15, 2019 Volume 84, Number 51,
pages 9525.
The meeting date, time, and agenda
should read as follows: This is a one day
meeting on April 24, 2019, 8:30 a.m. to
4:00 p.m. EDT.
Matters To Be Considered: The agenda
will include: (1) OPHPR Updates from
Director, (2) OPHPR Interval Updates
from Division Directors, (3) Report from
the Biological Agent Containment
Working Group (BACWG), (4) Update
on the response to the Ebola outbreak in
the Democratic Republic of Congo
(DRC).
FOR FURTHER INFORMATION CONTACT:
Dometa Ouisley, Office of Science and

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