60 Day FRN

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Federal Register / Vol. 84, No. 129 / Friday, July 5, 2019 / Notices
file format. Survey data files must
conform to the data file layout
specifications provided by the HCBS–
CAHPS Database. Since the unit of
analysis is at the program level,
submitters will upload one data file per

program. Once a data file is uploaded
the file will be automatically checked to
ensure it conforms to the specifications
and a data file status report will be
produced and made available to the
submitter. Submitters will review each

report and will be expected to correct
any errors in their data file and resubmit
if necessary. It will take about one hour
to submit the data for each program. The
total burden is estimated to be 63 hours
annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents/
POCs

Form name

Number of
responses per
POC

Hours per
response

Total burden
hours

Registration Form ............................................................................................
Program Information Form ..............................................................................
Data Use Agreement .......................................................................................
Data Files Submission .....................................................................................

51
51
51
13

1
1
1
4

5/60
5/60
3/60
1

4.25
4.25
2.5
52

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

166

N/A

N/A

63

Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to complete one

submission process. The cost burden is
estimated to be $2,880 annually.

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name

Total burden
hours

Average
hourly wage
rate *

Total cost
burden

Registration Form ............................................................................................
Program Information Form ..............................................................................
Data Use Agreement .......................................................................................
Data Files Submission .....................................................................................

51
51
51
13

4.25
4.25
2.5
52

a $53.69

c $42.08

$228
228
236
2,188

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

** 166

63

N/A

2,880

a $53.69
b $94.25

* National Compensation Survey: Occupational wages in the United States May 2017, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
a Based on the mean hourly wage for Medical and Health Services Managers (11–9111).
b Based on the mean hourly wage for Chief Executives (11–1011).
c Based on the mean hourly wages for Computer Programmer (15–1131).
** The 51 POCs listed for the registration form, program information form and the data use agreement are the estimated POCs from the estimated participating programs.

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Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ’s health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) of information; (c) ways to
enhance the quality, utility and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the

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proposed information collection. All
comments will become a matter of
public record.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019–14365 Filed 7–3–19; 8:45 am]
BILLING CODE 4160–90–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–0255; Docket No. CDC–19–0057]

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

SUMMARY:

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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 Resources and Services Database
of the CDC National Prevention
Information Network (NPIN) (OMB
Control No. 0920–0255 Exp. 2/29/2020).
The NPIN Resources and Services
Database contains entries on
approximately 10,000 organizations and
is the most comprehensive listing of
HIV/AIDS, viral hepatitis, STD, and TB
resources and services available
throughout the country. The American
public can also access the NPIN
Resources and Services database
through the NPIN websites.

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32176

Federal Register / Vol. 84, No. 129 / Friday, July 5, 2019 / Notices

CDC must receive written
comments on or before September 3,
2019.

DATES:

You may submit comments,
identified by Docket No. CDC–2019–
0057 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–
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
ADDRESSES:

HIV infection, viral hepatitis, sexually
transmitted diseases (STDs), and
tuberculosis (TB), as well as for
community-based HIV prevention
activities, syphilis, and TB elimination
programs. NPIN serves as the U.S.
reference, referral, and distribution
service for information on HIV/AIDS,
viral hepatitis, STDs, and TB,
supporting NCHHSTP’s mission to link
Americans to prevention, education,
and care services. NPIN is a critical
member of the network of government
agencies, community organizations,
businesses, health professionals,
educators, and human services
providers that educate the American
public about the grave threat to public
health posed by HIV/AIDS, viral
hepatitis, STDs, and TB, and provides
services for persons infected with
Human Immunodeficiency Virus (HIV).
The NPIN Resources and Services
Database contains entries on
approximately 10,000 organizations and
is the most comprehensive listing of
HIV/AIDS, viral hepatitis, STD, and TB
resources and services available
throughout the country. The American
public can also access the NPIN
Resources and Services database
through the NPIN website. More than
1,400,000 unique visitors and more than
3,000,000 page views are recorded
annually.
To accomplish CDC’s goal of
continuing efforts to maintain an up-todate, comprehensive database, NPIN
plans each year to add up to 400 newly
identified organizations and to verify
those organizations currently described
in the NPIN Resources and Services
Database each year. Organizations with
access to the internet will be given the
option to complete and submit an
electronic version of the questionnaire
by visiting the NPIN website. There are
no costs to respondents other than their
time.

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
Resources and Services Database of
the National Prevention Information
Network (NPIN) (OMB Control No.
0920–0255, Exp. 02/29/2020)—
Revision—National Center for HIV/
AIDS, Viral Hepatitis, Sexually
Transmitted Diseases, and Tuberculosis
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
CDC is requesting a three year
approval of Resources and Services
Database of the National Prevention
Information Network (NPIN). NCHHSTP
has the primary responsibility within
the CDC and the U.S. Public Health
Service for the prevention and control of

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form

Respondents

Initial Questionnaire
Telephone Script.
Telephone Verification ..

Registered nurses, Social and community service managers, and Health educators.
Registered nurses, Social and community service managers, and Health educators Social
and human service assistants.
Registered nurses, Health educators, and Social
and human service assistants, social and
community service managers.

Email Verification ..........

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

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Number of
responses per
respondent

Average
burden
per response
(in hours)

Total burden
(in hours)

400

1

8/60

54

6,100

1

6/60

610

3,600

1

8/60

480

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

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

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

1,144

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Federal Register / Vol. 84, No. 129 / Friday, July 5, 2019 / Notices
Jeffrey M. Zirger
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–14303 Filed 7–3–19; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–19BCG; Docket No. CDC–2019–
0053]

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 Core Elements of Antimicrobial
Stewardship in Nursing Homes. The
goal of the information collection is to
assess the impact of an intervention on
the knowledge, attitudes, practices, and
perceived provider-level barriers to
appropriate antibiotic prescribing in a
sample of health care providers in
nursing homes. The data will be used to
monitor the effect of an intervention
aimed at improving the antibiotic
stewardship behaviors of prescribers in
long-term care settings.
DATES: CDC must receive written
comments on or before September 3,
2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0053 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.

jbell on DSK3GLQ082PROD with NOTICES

SUMMARY:

VerDate Sep<11>2014

17:54 Jul 03, 2019

Jkt 247001

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
Core Elements of Antimicrobial
Stewardship in Nursing Homes—New—
National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID),
Centers for Disease Control and
Prevention (CDC).

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32177

Background and Brief Description
The purpose of this survey is to
follow-up on formative research (OMB
Control Number 0920–1154), which
assessed the knowledge, attitudes,
practices and perceived provider-level
barriers to appropriate antibiotic
prescribing in a sample of health care
providers in nursing homes. This survey
was developed building upon
foundational work previously
completed. The questions were
originally pre-tested among a select
group (n=9) of prescribers recruited
from the participating corporations to
both obtain responses, as well as
performing cognitive assessment to
ensure clarity and robustness of content.
The preliminary findings suggested
that the questions presented were clear
and correctly understood and that the
topics covered were meaningful. The
inclusion of length of time in practice
was specifically relevant as preliminary
findings from the interviews, albeit
limited, suggest that a prescriber’s
approach and attitudes surrounding
antibiotic prescribing may be impacted
by professional tenure. Specifically,
respondents described that the longer a
prescriber had been in practice, the
more reluctant they were to modify their
prescribing behaviors.
General findings consistently centered
on the variability in nurse/provider
communication. Themes of poor
communication encompassed multiple
elements. Key themes included: Poor
structure of information sharing, the
role of gatekeepers to the prescriber,
insufficient or otherwise irrelevant
detail, and an absence of therapy
recommendation from the nurses.
Additionally, respondents described the
physical environment/geographic
context that contributed to possible
instances of over-prescribing: Limited
availability of timely or rapid test
laboratory results, sites with affiliated
labs that are closed on the weekends
(thus requiring a staff member to drive
a sample multiple hours to the nearest
hospital), limited antibiotic options in
the facility’s Emergency Kit (from which
staff frequently draw when starting a
prescription).
The current phase incorporates the
findings from previous exploratory work
and aims to address the quality of
communication between the nurses and
prescribers while also respecting the
rational for initial antibiotic initiation.
As the decision to initiate an antibiotic
prescription is largely influenced by
factors beyond the scope of this project,
the current study targeted the role of the
antibiotic follow-up to engage the
prescriber post-prescription to reassess

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