60 Day FRN

Att2_60 Day FRN.pdf

National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

60 Day FRN

OMB: 0920-1317

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21443

Federal Register / Vol. 85, No. 75 / Friday, April 17, 2020 / Notices
database is available for researchers to
request access to NVDRS data for
analysis and a web-based query system
is open for public use that allows for
electronic querying of data. NVDRS
generates public health surveillance
information at the national, state, and
local levels that is more detailed, useful,
and timely. Government, state and local
communities have used NVDRS data to
develop and evaluate prevention
programs and strategies. NVDRS is also
used to understand magnitude, trends,
and characteristics of violent death and
what factors protect people or put them
at risk for experiencing violence.
Since 2004 and throughout 2017, CDC
has received OMB approval for NVDRS.
This is a revision request for an

additional three years to (1) implement
updates to the web-based system to
improve performance, functionality, and
accessibility, (2) add new data elements
to the system and minimal revisions to
the NVDRS coding manual. In 2018, the
NVDRS expanded by adding 10 new
states and now all 50 states, the District
of Columbia, and Puerto Rico
participate in the system. Each state,
District of Columbia, and U.S. territory
(referred to hereinafter as ‘‘states’’) is
funded to abstract standard data
elements from three primary data
sources: Death certificates, coroner/
medical examiner records, and law
enforcement records into a web-based
data entry system, supplied by CDC.

This is an ongoing surveillance system
that captures annual violent death
counts and circumstances that
precipitate each violent incident. CDC
aggregates de-identified data from each
state into one national database that is
analyzed and released in annual reports
and other publications. Descriptive
analyses such as frequencies and rates
will be employed. A restricted access
database is available for researchers to
request access to NVDRS data for
analysis and a web-based query system
is open for public use that allows for
electronic querying of data. The
estimated annual burden hours are
36,540. There are no costs to
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Public Agencies ............................................

Web-based Data Entry .................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–08169 Filed 4–16–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–20–1290; Docket No. CDC–2020–
0038]

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 National Healthcare Safety
Network (NHSN) Patient Module for
Coronavirus (COVID–19) Surveillance

SUMMARY:

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Number of
respondents

Type of respondent

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in Healthcare Facilities. Two modules
will be added within NHSN to capture
the daily, aggregate impact of COVID–19
on healthcare facilities and monitor
medical capacity to respond at local,
state, and national levels.
DATES: CDC must receive written
comments on or before June 16, 2020.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2020–
0038 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].

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Total number of
responses per
respondent

56

1,305

Average
burden per
response
(in hours)
30/60

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,

SUPPLEMENTARY INFORMATION:

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Federal Register / Vol. 85, No. 75 / Friday, April 17, 2020 / Notices

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
National Healthcare Safety Network
(NHSN) Patient Impact Module for
Coronavirus (COVID–19) Surveillance
in Healthcare Facilities—New—
National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Division of Healthcare Quality
Promotion (DHQP), National Center for
Emerging and Zoonotic Infectious
Diseases (NCEZID), Centers for Disease
Control and Prevention (CDC) collects
data from healthcare facilities in the
National Healthcare Safety Network
(NHSN) under OMB Control Number
0920–0666. NHSN is a public health
surveillance system that collects,
analyzes, reports, and makes available
data for monitoring, measuring, and
responding to healthcare associated
infections (HAIs), antimicrobial use and
resistance, blood transfusion safety
events, and the extent to which
healthcare facilities adhere to infection
prevention practices and antimicrobial
stewardship.

of cases that are community-acquired
versus healthcare-associated. CDC and
health departments alike will use this
surveillance data to prioritize the
allocation of resources and response
efforts. Metrics collected in NHSN will
include:
• Number of and proportion of
hospitalized patients with suspected
or confirmed COVID–19
• Number of and proportion of
hospitalized patients with suspected
or confirmed COVID–19 that are on
mechanical ventilators
• Number of patients with suspected or
confirmed COVID–19 who are in the
emergency department (ED) or any
overflow locations awaiting an
inpatient bed
• Number of and proportion of
inpatient COVID–19 patients with
suspected or confirmed COVID–19
with onset 14 or more days after
hospitalization (most likely
healthcare-associated)
• Proportion of inpatient beds occupied
by those who are suspected or
confirmed with COVID–19 (or
proportion of inpatients who are
suspected or confirmed with COVID–
19)
There will be no cost to respondents
other than their time to complete the
COVID–19 Patient Impact Module Form
on a daily basis, for 180 days. The
estimated annualized time burden is
292,500 hours.

On March 11, 2020, the World Health
Organization declared COVID–19 a
pandemic, and the President of the
United States (U.S.) proclaimed the
outbreak a national emergency on
March 13, 2020. As rates of infection
continue to rise across the U.S.,
healthcare facilities and public health
departments are facing significant strain
on patient care and infection prevention
efforts. NHSN plans to introduce a new
COVID–19 module in the Patient Safety
Component that will enable hospitals to
report daily COVID–19 patient counts to
NHSN, and NHSN in turn will enable
state and local health departments to
gain immediate access to the COVID–19
data for hospitals in their jurisdiction.
NHSN’s role as a shared platform for
HAI surveillance provides a valuable
foundation for COVID–19 surveillance.
A very large number of the nation’s
hospitals participate in NHSN, and
infection preventionists (IPs) in those
hospitals already use NHSN for
surveillance and reporting. Hospitals’
IPs will voluntarily report COVID–19
patient surveillance data to NHSN by
manual entry or by uploading a comma
separated values (CSV) file. State and
local health departments will be able to
gain immediate access to this data
reported by facilities in their
jurisdictions via existing NHSN groups.
This information will be used to
inform the overall real-time COVID–19
response efforts and possible resource
allocation, including an understanding

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Microbiologist ....................................

COVID–19 Patient Impact Module
Form.

3,900

180

25/60

292,500

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

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

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

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

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

292,500

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

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

[FR Doc. 2020–08170 Filed 4–16–20; 8:45 am]

Centers for Disease Control and
Prevention

BILLING CODE 4163–18–P

[30Day–20–0841]

Agency Forms Undergoing Paperwork
Reduction Act Review
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Number of
responses per
respondent

Type of respondents

In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled [Management
Information System for Comprehensive
Cancer Control Programs] to the Office
of Management and Budget (OMB) for

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review and approval. CDC previously
published a ‘‘Proposed Data Collection
Submitted for Public Comment and
Recommendations’’ notice on November
4, 2019 to obtain comments from the
public and affected agencies. CDC did
not receive comments 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

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