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Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices
EBI implementation; additional factors
that affect EBI implementation over
time; and the effect of COVID–19 on
CRCCP implementation at the clinic
level.
The new Quarterly Program Update
survey will collect standardized
awardee-level information on aspects of
program management, including (1)
respondent information, (2) award
spending, (3) staff vacancies, (4)
program successes and challenges, (5)

TA needs, and (6) COVID–19. This
information collection will provide CDC
staff rapid reporting of programmatic
information to inform their efforts to
provide awardees with tailored TA.
Redesigned data elements will enable
CDC to better gauge progress in meeting
CRCCP program goals and monitor
implementation activities, evaluate
outcomes, and identify awardee TA
needs. In addition, data collected will
inform program improvement and help

identify successful activities that need
to be maintained, replicated, or
expanded.
OMB approval is requested for three
years. The number of awardees will
increase from 30 to 35 awardees, and
the number of clinic partners is
expected to increase from 12 to 24 per
awardee. Therefore, the total estimated
annualized burden hours have increased
from 204 to 760 hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

CRCCP Awardees ........................

CRCCP Annual Awardee Survey .....................................
CRCCP Clinic-level Data Collection Instrument ..............
CRCCP Quarterly Program Update .................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–26631 Filed 12–2–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–21–1108; Docket No. CDC–2020–
0119]

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 the
existing information collection project
titled Paul Coverdell National Acute
Stroke Program (PCNASP) reporting
system, which was established to
improve quality of care for acute stroke
patients from onset of signs and
symptoms through hospital care and
rehabilitation and recovery.

SUMMARY:

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Number of
respondents

Type of respondent

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CDC must receive written
comments on or before February 1,
2021.

DATES:

You may submit comments,
identified by Docket No. CDC–2020–
0119 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:
404–639–7118; 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
ADDRESSES:

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Number of
responses per
respondent

35
35
35

1
24
4

Average
burden per
response
(in hr)
15/60
50/60
22/60

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
Paul Coverdell National Acute Stroke
Program (PCNASP) (OMB Control No.
0920–1108, Exp. 09/30/2022)—
Revision—National Center for Chronic
Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).

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Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices

Background and Brief Description
Stroke is the fifth leading cause of
death in the United States and results in
approximately 145,000 deaths per year.
Additionally, approximately 800,000
stroke events are reported each year,
including approximately 250,000
recurrent strokes. However, many
strokes are preventable, or patient
outcomes post-stroke can be improved
through coordinated care that begins at
stroke onset and is delivered in a timely
manner.
Stroke outcomes depend upon the
rapid recognition of signs and
symptoms of stroke, prompt transport to
a treatment facility, and early
rehabilitation. Improving outcomes
requires a coordinated systems
approach involving pre-hospital care,
emergency department and hospital
care, post-stroke rehabilitation,
prevention of complications, and
ongoing secondary prevention. Each
care setting has unique opportunities for
improving the quality of care provided
and access to available professional and
clinical care at the local level within a
coordinated state-based system of care.
In addition, there remains a need to
identify disparities in stroke care and
implement stroke interventions, such as
community education and quality
improvement activities, focused on
priority populations.
Through the Paul Coverdell National
Acute Stroke Program (PCNASP), CDC
has been continuously worked to
measure and improve acute stroke care
using well-known quality improvement
strategies coupled with frequent
evaluation of results. There remains a
national need to understand best
practices of stroke systems of care,
which includes prevention and
awareness, use of EMS, in-hospital care,
and rehabilitation and recovery.
PCNASP awardees work statewide with
participating hospitals, Emergency
Medical Services (EMS) agencies, and
other healthcare partners (e.g.,
community clinical partners) to improve
quality of care for stroke patients. These
efforts include implementing strategies
to close the gap on stroke disparities,
identifying effective stroke treatment
centers, building capacity and
infrastructure to ensure that stroke
patients are routed to effective treatment
centers in a timely manner, and
improving transitions of care from the
hospital to the next care setting.
During initial cooperative agreement
cycles, PCNASP awardees focused on
improving in-hospital quality of care
(QoC) with technical assistance
provided by CDC. Through lessons

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learned during this process and other
supporting evidence in the field, it has
become evident that it is also important
to examine pre- and post-hospital
transitions of care to link the entire
continuum of stroke care when
improving QoC for stroke patients.
The PCNASP’s current five-year
cooperative agreement started on July 1,
2015 and includes nine state health
department awardees and their selected
partners (hospitals, EMS agencies, other
healthcare facilities). This current
funding period reflects additional
emphasis on pre-hospital quality of care
as well as the post-hospital transition of
care setting from hospital to home or
other healthcare facility. With technical
assistance provided by CDC, awardees
have worked on identifying and using
data systems to systematically collect
and report data on all three phases of
the stroke care continuum and on
hospital capacity.
PCNASP currently has OMB approval
for the collection of pre-hospital (EMS),
in-hospital, and post-hospital patient
care data, as well as hospital inventory
data (OMB Control No. 0920–1108, Exp.
09/30/2022). CDC plans to request a
revision of this currently approved
collection, with an extension of three
years, reflecting a new Notice of
Funding Opportunity (NOFO). The new
PCNASP cooperative agreements will be
expanded to include 13 awardees,
which will be awarded on or about July
1, 2021.
In-hospital patient care data will
continue to align with standards set by
The Joint Commission (TJC) and the
American Heart Association’s Get With
The Guidelines (GWTG) program.
Estimated burden for the collection of
in-hospital data will increase by a net
increase of eight hours due to added
program awardees under the new
cooperative agreement. The average
burden per response remains 30
minutes for awardees, for a total of 26
hours annually.
Data collection methods for prehospital care will continue to be
collected similar to the two current
methods, depending on awardees’
access to data sources. These two
methods are existing data systems
currently available to awardees,
including the AHA’s GWTG and the
National Emergency Medical Services
Information System (NEMSIS). CDC has
worked to reduce the overall number of
required data elements and identified
areas of alignment with AHA’s GWTG.
Total average burden will decrease due
to the reduction in data elements under
the new NOFO. Depending on the

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awardees’ access to data sources (GWTG
or NEMSIS), the average burden per
response will vary from 30 minutes to
one hour. Thus, the burden for prehospital data is estimated to decrease
from 60 to 46 burden hours annually.
Under scope of the new NOFO,
patient level quality of care posthospital data will not be collected. Poststroke transitions of care, rehabilitation,
follow-up, etc. will be assessed in
alignment with existing CDC
cooperative agreements. This is an effort
to better align resources, funding, and
community efforts already working to
connect stroke patients with post-acute
clinical care. As a result, burden for this
collection and transmission will not be
included in the overall estimation of
average burden.
Primary data collection of hospital
inventory data will continue to be
collected to understand the capacity and
infrastructure of the hospitals that admit
and treat stroke patients. Each hospital
will report inventory information to its
PCNASP awardee annually. The average
burden per response remains 30
minutes for hospitals. In addition, each
PCNASP awardee prepares an annual
aggregate hospital inventory file for
transmission to CDC. The average
burden of reporting hospital inventory
information for each PCNASP awardee
remains 8 hours per response. Based on
current data and expected number of
awardees under new NOFO, we are
estimating the number of hospital
partners per awardee to be 50 hospitals.
Due to this increase in awardees, the
estimated number of hospital
respondents is anticipated to increasing
from 378 to 650. Thus, there is a net
increase of 136 hours for hospitals to
collect and transmit this data. The total
burden for hospital inventory data is
increasing from 189 to 325 hours
annually.
These requested changes will result in
a net increase in total average burden
from 361 to 501 hours. All patient,
hospital, and EMS provider data that is
submitted to CDC by PCNASP awardees
will be de-identified and occur through
secure data systems. Proposed data
elements and quality indicators may be
updated over time to include new or
revised items based on evolving
recommendations and standards in the
field to improve the quality of stroke
care.
OMB approval is requested for three
years. Participation is voluntary and
there are no costs to respondents other
than their time.

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Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Number of
respondents

Type of respondents

Form name

PCNASP Awardee ............................

Hospital inventory .............................
In-hospital care data ........................
Pre-hospital care data ......................

PCNASP Hospital Partners ..............
Total ...........................................

Average
burden per
response
(in hours)

Total burden
(in hours)

Hospital Inventory ............................

13
13
3
10
650

1
4
4
4
1

8
30/60
30/60
1
30/60

104
26
6
40
325

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

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

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

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

501

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–26632 Filed 12–2–20; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Generic Clearance for
Financial Reports Used for ACF
Mandatory Grant Programs (OMB
#0970–0510)
Administration for Children
and Families, HHS.
ACTION: Request for public comment.
AGENCY:

The Administration for
Children and Families (ACF) proposes
to extend data collection under the
existing overarching generic clearance
for Financial Reports used for ACF
Mandatory Grant Programs (OMB
#0970–0510). There are no changes to
the proposed types of information
collection or uses of data.
DATES: Comments due within 60 days of
publication. In compliance with the
requirements of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
SUMMARY:

ACF is soliciting public comment on the
specific aspects of the information
collection described above.
ADDRESSES: Copies of the proposed
collection of information can be
obtained and comments may be
forwarded by emailing infocollection@
acf.hhs.gov. Alternatively, copies can
also be obtained by writing to the
Administration for Children and
Families, Office of Planning, Research,
and Evaluation (OPRE), 330 C Street
SW, Washington, DC 20201, Attn: ACF
Reports Clearance Officer. All requests,
emailed or written, should be identified
by the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: ACF programs need
detailed financial information from
recipients that receive federal funds,
such as grantees, to monitor various
specialized cost categories within each
program, to closely manage program
activities, and to have sufficient
financial information to enable periodic
thorough and detailed audits.
Information collected through the
Federal Financial Report (Standard
Form (SF)–425) provides general
information, but does not provide
program-specific information that is
necessary for ACF program office
decision making. This generic clearance
allows ACF to collect program-specific
financial information from mandatory
grant programs.

Program offices use the information
collected under this generic information
collection to:
• Monitor program operations and
prepare technical assistance and
guidance, as needed.
• Assist in the computation of the
grant awards issued to each program’s
grantees or annual incentive payments
(Child Support Enforcement Program
only).
• Determine that child support
collections are being properly
distributed (Child Support Enforcement
Program only).
• Produce annual financial and
statistical reports as may be required by
Congress and respond to periodic
detailed inquiries from Congress.
ACF may require an information
collection approved under this generic
from funding recipients in order to
obtain or retain benefits.
Following standard OMB
requirements for a generic information
collection, ACF will submit a generic
information collection request for each
individual data collection activity under
this generic clearance. Each request will
include the individual form(s) and
instructions, and a short overview of the
proposed purpose and use of the data
collected. OMB should review requests
within 10 days of submission.
Respondents: ACF-funded mandatory
grant programs.

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ANNUAL BURDEN ESTIMATES
Instrument

Number of
respondents

Number of
responses per
respondent

Average
burden hours
per
response

Annual burden
hours

Mandatory Grant Financial Reports .................................................................

1,000

4

10

40,000

Estimated Total Annual Burden Hours: 40,000.

Comments: The Department
specifically requests comments on (a)
whether the proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the

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information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) the quality, utility,
and clarity of the information to be
collected; and (d) ways to minimize the

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burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Consideration will be given

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