60-day Federal Register Notice

Att2a_60_Day_FRN_Pub_3-10-2023.pdf

[NCHHSTP] The STD Surveillance Network (SSuN)

60-day Federal Register Notice

OMB: 0920-1072

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15026

Federal Register / Vol. 88, No. 47 / Friday, March 10, 2023 / Notices

complete a research proposal and to
self-select whether they need access to
confidential data to answer their
research questions. The RDC requires
the researcher to complete a research
proposal, so NCHS understands the
research proposed. The completed
proposal is sent to NCHS through the
SAP portal for review and adjudication.
If the research proposal is approved by
NCHS, then the researcher must fill out
two of three data security forms. If the
researcher will access the data at a RDC,

then the ‘‘Data Access Form’’ and the
‘‘Designated Agent Form’’ would need
to be completed and returned to NCHS.
If the researcher will access the data
through the NCHS Virtual Data Enclave
(VDE), then the ‘‘VDE Data Use
Agreement Form’’ and the ‘‘Designated
Agent Form’’ would need to be
completed and returned to NCHS.
In order to capture the information
needed to adjudicate a researcher’s
commitment to protect confidential
NCHS data, researchers must complete

and sign the data security forms. This
request allows for both researcher
signature and the time per response for
a total estimated annual burden total of
110 hours. There is no cost to a
researcher other than their time to
complete the forms unless the
researcher has to pay a nominal notary
fee for services incurred. The resulting
information will be used for NCHS
internal purposes.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Researcher .............................

Research Data Center proposal .............................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2023–04969 Filed 3–9–23; 8:45 am]
BILLING CODE 4163–18–P

Centers for Disease Control and
Prevention
[60Day–23–23CV; Docket No. CDC–2023–
0014]

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 Reducing
Fatigue Among Taxi Drivers. The goal of
this project is to evaluate two
interventions, a training and a wristdevice that provide personalized daily
fatigue scores, designed to enable taxi
drivers to reduce their fatigue levels.
This research study involves two parts:
development of a fatigue management
eLearning training tool designed for
drivers-for-hire (e.g., taxi drivers; ride

SUMMARY:

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17:45 Mar 09, 2023

sourcing drivers); and an evaluation of
the effectiveness of this training alone
and paired with the wrist-device that
provides personalized daily fatigue
scores.
CDC must receive written
comments on or before May 9, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2023–
0014 by either of the following methods:
• Federal eRulemaking Portal:
www.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 H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.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
H21–8, 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
DATES:

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

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Type of respondents

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Avg. burden
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1

1

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;
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; and
5. Assess information collection costs.
Proposed Project
Reducing Fatigue Among Taxi
Drivers—New—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).

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Federal Register / Vol. 88, No. 47 / Friday, March 10, 2023 / Notices
Background and Brief Description
Taxi drivers routinely work long
hours and late night or early morning
shifts. Shift work and long work hours
are linked to many health and safety
risks due to disturbances to sleep and
circadian rhythms. Fatigue is a
significant contributor to transportationrelated injuries, most notably among
shift workers. Such work schedules and
inadequate sleep likely contribute to
health issues and injuries among taxi
drivers who experience a roadway
fatality rate of 3.5 times higher than all
civilian workers and had the highest
rate of nonfatal work-related motor
vehicle injuries treated in emergency
departments. The urban and interurban
transportation industry ranks the third
highest in costs per employee for motor
vehicle crashes. Tired drivers endanger
others on the road (e.g., other drivers,
passengers, bicyclists, pedestrians) in
addition to themselves and their
passengers. An important approach to
reducing fatigue-related risks is to
inform employers and taxi drivers about
the risks and strategies to reduce their
risks.
The purpose of this project is to
develop and evaluate a training program
to inform taxi drivers and other drivers
for hire who transport passengers of the
risks linked to shift work and long work
hours and evaluate strategies for taxi
drivers to reduce these risks. Due to the
pandemic, the study will be
administered virtually. We are focused
on taxi/rideshare drivers licensed in San
Francisco, with approximately 45,000
drivers. The recruitment of 180 study
participants and data collection
procedures will be performed by NIOSH
project personnel with support from a
NIOSH contractor trained by the NIOSH
project personnel. This research study
involves two parts: development of a
fatigue management eLearning training
tool designed for drivers-for-hire (e.g.,
taxi drivers; ride sourcing drivers); and
an evaluation of the use of this tool as
an intervention. The training tool will

speeding) already collected on all
drivers as a direct measurement of
fatigue-related driving performance
events used to validate self-report data.
As part of their daily sleep and health
diaries drivers will be asked to complete
three-minute psychomotor vigilance
tests (PVTs) five times throughout the
day to directly measure alertness using
an app installed on an electronic device.
At the end of the data collection period
the training will be offered to the
remaining study participants who will
be provided an opportunity, but no
remuneration, to complete the training
and training survey.
Study staff will use the findings from
this evaluation to improve the training
program, including content and
delivery, as well as compare fatigue
between intervention groups. Potential
impacts of this project include
improvements in work behaviors for
coping with shift work and long work
hours and an objective reduction in
fatigue compared to the control groups.
This project is poised to have
considerable impact in the contribution
of an evidence base for effective
interventions that could be used by
other taxi companies and drivers for
ride sourcing companies to promote
strategies in road safety.
The burden table lists 120 of the 180
taxi drivers in the study will complete
the online training and evaluation
(approximately three hours). All drivers
(180) will complete the Work and
Health survey, and the knowledge
survey each week of the study (five
times each per participant). Each
participant will complete the sleep and
activity diary five times a day, each day
for 35 days (175 times total) which will
require approximately two minutes for
each response. There will also be three
meetings for recruitment and enrollment
(once), fitting the actigraph (weekly),
and a final meeting (weekly). The total
estimated annualized burden hours is
2,700. There are no costs to participants
other than their time.

educate drivers about fatigue as a risk
factor for motor vehicle crashes, the
negative health and safety effects of
fatigue, and how to reduce fatigue by
improving sleep, health, nutrition and
work schedules. There will be pre- and
post-module knowledge tests to evaluate
the training. The training will be offered
online, free of charge, and will be
viewable on multiple platforms (e.g.,
smartphone, tablet, laptop). All
participants will also wear a wristband
actigraph used to measure sleep/wake
cycles, which will serve as a second
intervention. The actigraph data will
provide a personalized daily measure of
fatigue each participant can use as an
external prompt to assess individual
fatigue levels and trigger self-reflection
on fitness to drive and act accordingly.
A randomized pre-post with control
group longitudinal study design will
evaluate the training and the driver’s
response to feedback from the actigraph.
Specifically, there are two intervention
groups: (1) training plus actigraph
fatigue level feedback and (2) training
only with wearing actigraph but no
fatigue level feedback. The control
group will receive neither training nor
feedback on fatigue levels from their
actigraph. Participants will complete a
baseline and follow-up Work and Health
survey, sleep and activities diaries, and
sleep health knowledge questions
during each of five observation periods.
The Work and Health survey
administered in the first observation
period will be more comprehensive and
the abbreviated follow-up Work and
Health surveys administered for the
remaining observation periods will
serve to capture only responses to
questions that can change from one
observation period to the next. Only
participants randomly selected to take
the training will complete a training
evaluation survey used to strengthen the
training’s effectiveness. Data will also be
collected from company installed invehicle monitoring systems on safety
critical events (e.g., hard braking,

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondents

Form name

Taxi Drivers ...................

Online Training & Evaluation ...............................
Sleep & Activities Diary .......................................
Work & Health Survey .........................................
Knowledge survey ...............................................
Recruitment & Informed Consent ........................
Initial Meeting (Fit Actigraph) ..............................
10-minute meeting (turn in devices, turn in diary,
receive remuneration).

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Number of
responses per
respondent

120
180
180
180
180
180
180

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1
175
5
5
1
5
5

10MRN1

Average
burden per
response
(in hours)
180/60
2/60
45/60
15/60
30/60
10/60
10/60

Total burden
(in hours)
360
1,050
675
225
90
150
150

15028

Federal Register / Vol. 88, No. 47 / Friday, March 10, 2023 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name

Number of
respondents

Number of
responses per
respondent

Average
burden per
response
(in hours)

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

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

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

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

Type of respondents

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

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2023–04970 Filed 3–9–23; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–23–1072; Docket No. CDC–2023–
0017]

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 continuing information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled STD
Surveillance Network (SSuN). This
information collection request is
designed to strengthen national and
local surveillance capacity for incident,
new and emerging sexually transmitted
diseases (STDs) by collecting relevant
risk, demographic, and clinical
information on patients at risk for STDs
attending STD-related healthcare
facilities, and providing more accurate
estimates of the burden of disease,
incidence of STDs, trends and impact of
STDs at the population level.
DATES: CDC must receive written
comments on or before May 9, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2023–
0017 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for

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SUMMARY:

VerDate Sep<11>2014

17:45 Mar 09, 2023

Jkt 259001

Disease Control and Prevention, 1600
Clifton Road NE, MS H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.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
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7118; Email: omb@
cdc.gov.
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;

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Total burden
(in hours)
2,700

4. Minimize the burden of the
collection of information on those who
are to respond, including using
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms of
information technology, e.g., permitting
electronic submissions of responses;
and
5. Assess information collection costs.
Proposed Project
The STD Surveillance Network
(SSuN), (OMB Control No. 0920–1072,
Exp. 10/31/2023)—Revision—National
Center for HIV/AIDS, Viral Hepatitis,
STD, TB Prevention (NCHHSTP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The National Center for HIV/AIDS,
Viral Hepatitis, STD and TB Prevention
(NCHHSTP) is requesting revision of the
information collection entitled, The
STD Surveillance Network (SSuN).
Revisions to this submission include
addition of mpox-related data elements
for monitoring mpox risk, vaccination,
diagnoses, and laboratory testing as part
of ongoing surveillance for this
emergent public health issue.
Additionally, this Revision incorporates
future expansion of SSuN to additional
STD clinical facilities, addition of
several new data elements to sentinel
surveillance activities in STD clinical
facilities related to Pre-Exposure
Prophylaxis for HIV (PrEP), and
enhanced investigations of a random
sample syphilis cases reported to
participating health departments.
Multiple data elements associated with
enhanced gonorrhea case investigations
and provider reporting forms are also
being retired.
The purpose of this project is to
enhance national capacity for STD
surveillance and better meet CDC’s
disease surveillance mandate by: (1)
addressing gaps in epidemiologicallyrelevant information by providing more
complete behavioral and demographic
data on reported cases of notifiable
STDs to enhance the ability of public
health authorities to interpret trends in
case incidence, assess inequalities in the
burden of disease by population
characteristics and to monitor STD

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