30Day FRN

7399

Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices
which visit data are collected through
submission of EHRs with the approved
2019 sample size, and for subsequent
survey years when deemed necessary.
The annualized 2021–2023 NAMCS
sample size is projected to be 6,000
office-based physicians and 92 CHCs.
Questions on the traditional office-base
physician survey will be modified for
clarification and to keep current with
medical practice and terminology. In

2020 we are also seeking to include the
potential for experiments involving
physician incentives for some officebased physicians. In 2021, data
collection for CHCs will transition from
manual abstraction to be sent through
EHRs. A set-up fee will be allotted to
sampled CHCs to offset the cost of this
new data collection method. With this
transition, a new CHC facility interview
will be implemented and personally

identifiable information (PII) will be
collected from both the CHCs, and
physicians who submit EHR data. For
both the traditional office-based
physicians and CHCs, we will continue
COVID–19 questions in 2021 and for
subsequent data years where
information is pertinent. We will also
begin to conduct methodological work
to improve upon the survey. Estimated
annualized burden is 9,272 hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Average
burden per
response
(in hrs.)

Total burden
(in hrs.)

Type of respondents

Form name

Office-based Physicians or Staff (Abstraction) ...

Physician Induction Interview (2020) ..................
Pulling, re-filing medical record forms (FR abstracts) (2020).
CHC Facility Induction Interview (2020) .............
Provider Induction Interview (2020) ....................
Pulling, re-filing medical record forms (FR abstracts).
Reinterview Study (2020) ...................................

500
500

1
30

30/60
1/60

250
250

17
52
52

1
1
30

30/60
30/60
1/60

9
26
26

33

1

15/60

8

3,000
3,000

1
30

30/60
1/60

1,500
1,500

3,000
3,000

1
1

45/60
60/60

2,250
3,000

92
92

1
4

15/60
60/60

23
368

Office-based Physicians (Abstraction) ................

Physician Induction Interview (2021–2023) ........
Pulling, re-filing medical record forms (FR abstracts) (2021–2023).
Physician Facility Interview (PFI) (2021–2023) ..
Pulling, re-filing medical record forms (EHR
Onboarding) (2021–2023).
CHC Facility Interview (2021–2023) ...................
Prepare and transmit EHR for Visit Data (quarterly) (2021–2023).
Reinterview Study (2021–2023) .........................

250

1

15/60

63

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

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

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

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

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

9,272

CHC Executive/Medical Directors .......................
CHC Providers .....................................................
CHC Provider Staff ..............................................
Office-based Physicians (Abstraction) and CHC
Providers.
Office-based Physicians or Staff (Abstraction) ...

Office-based Physician Staff (EHR Submission)

CHC Staff ............................................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2021–01691 Filed 1–27–21; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–21–20PM]

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 Oral Health
Basic Screening Survey for Children 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 July 2, 2020 to obtain
comments from the public and affected
agencies. CDC received three comments

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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

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(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.
Comments and recommendations for the
proposed information collection should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. 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
Oral Health Basic Screening Survey
for Children—Existing Collection in use
without an OMB Control Number—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).

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7400

Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices

Background and Brief Description
Dental caries (tooth decay) is one of
the most common chronic diseases
among children in the United States and
can lead to pain, infection, and
diminished quality of life throughout
the lifespan. Dental sealants are a costeffective measure to prevent caries but
remain underutilized.
To address states’ critical need for
state-level oral health surveillance data
on dental caries and sealants, the
Association of State and Territorial
Dental Directors (ASTDD) developed
and released an oral health screening
survey protocol referred to as the Basic
Screening Survey (BSS) in 1999 in
collaboration with the Ohio Department
of Health and with technical assistance
from the CDC’s Division of Oral Health.
BSS is a non-invasive visual
observation of the mouth performed by
trained screeners including dental and
non-dental health professionals (e.g.,
dentists, hygienists, school nurses). The
BSS data collection is not duplicative of
any other federal collection. Though the
National Health and Nutrition
Examination Survey (NHANES) collects
national data on oral health status
including dental caries and sealants
based on clinical examination, it is not
designed to provide state-level data.
BSS is designed to be easy to perform
while being consistent and aligned with
the oral health Healthy People
objectives, which are based on NHANES
measures. BSS is the only data source

that provides state-representative data
on oral health status based on clinical
examination. BSS is also used to
monitor state progress toward key
national oral health objectives.
The BSS is a state-tailored survey
administered and conducted by
individual states. CDC has supported
some of the 50 states to build and
maintain their oral health surveillance
system and ASTDD to provide technical
assistance to states through state and
partner cooperative agreements since
2001. Conducting BSS for third graders
is a key component of that support.
The target populations include school
children in grades K–3 and children
enrolled in Head Start in 50 states and
Washington, DC. ASTDD and CDC
recommend that states conduct BSS at
minimum for third graders at least once
every five years. Individual states
determine how often to conduct BSS
and which grade or grades to target
based on their program needs and
available resources. Forty-seven states
have conducted BSS for children, and
all 47 conducted Third Grade BSS.
Thirty-two states also have conducted
BSS in one or more other grades (K–2)
or in Head Start Programs. CDC
estimates that approximately 34 states,
including 20 states currently funded by
CDC, will conduct one BSS, at least for
third grade, during the period for which
this approval is being sought.
State health departments administer
the survey by determining probability

samples, arranging logistics with
selected schools or Head Start sites,
gaining consent, obtaining demographic
data, training screeners, conducting the
oral health screening at schools or Head
Start sites. Screeners record four data
points either electronically or on a
paper form: (1) Presence of treated
caries, (2) presence of untreated tooth
decay, (3) urgency of need for treatment,
and (4) presence of dental sealants on at
least one permanent molar tooth.
State programs enter, clean and
analyze the data; de-identify it; and
respond to ASTDD’s annual email
request for state-aggregated prevalence
of dental caries and sealants. ASTDD
reviews the data to ensure that both
survey design and data meet specific
criteria before sending it to CDC for
publication on the CDC’s public-facing
Oral Health Data website (www.cdc.gov/
oralhealthdata).
BSS for children serves as a key state
oral health surveillance data source and
facilitates state capacity to (1) monitor
children’s oral health status, trends, and
disparities, and compare with other
states; (2) inform planning,
implementation and evaluation of
effective oral health programs and
policies; (3) measure state progress
toward Healthy People objectives; and
(4) educate the public and policy
makers regarding cross-cutting public
health programs. CDC also uses the data
to evaluate performance of CDC oral
health funding recipients.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondents

Form name

Child .................................................
Parent/caretaker ...............................
Screener ...........................................
School/site ........................................
State Official .....................................

Screening form ..............................................................
Consent .........................................................................
Screening form ..............................................................
Participation form ..........................................................
Data Submission form ..................................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2021–01912 Filed 1–27–21; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–21–1243]

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 ‘‘Rapid
Response Suicide Investigation Data

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150,370
150,370
301
2,890
34

Number of
responses per
respondent
1
1
1
1
1

Average
burden per
response
(in hours)
5/60
1/60
666/60
68/60
32,742/60

Collection’’ 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 October
13,2020 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

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