Proposed Data Collections Submitted for Public Comment and Recommendations, 42096-42097 [E7-14886]

Download as PDF 42096 Federal Register / Vol. 72, No. 147 / Wednesday, August 1, 2007 / Notices jlentini on PROD1PC65 with NOTICES transport passengers and cargo on U.S. Government procured transportation for both scheduled and charter flights, subject to certain conditions. Specifically, community airlines may transport passengers and cargo on scheduled and charter flights for which a U.S. Government civilian department, agency, or instrumentality: (1) Obtains the transportation for itself or in carrying out an arrangement under which payment is made by the U.S. Government or payment is made from amounts provided for the use of the U.S. Government, or (2) Provides the transportation to or for a foreign country or international or other organization without reimbursement, and the transportation is: (a) between any point in the United States and any point in a Member State, except—with respect to passengers only—between points for which there is a city-pair contract fare in effect, or (b) between any two points outside the United States. This provision described above does not apply to transportation funded by the Secretary of Defense or the Secretary of a military department. The Federal Travel Regulation (FTR), section 301–10.135 (b) (41 CFR 301– 10.135(b)) includes an exception to the use of U.S. flag air carrier service when the transportation is provided under a bilateral or multilateral air transportation agreement to which the U.S. Government and the government of a foreign country are parties, and which the Department of Transportation has determined meets the requirements of the Fly America Act. As the U.S.–EU Open Skies agreement is such an air transportation agreement, the General Services Administration (GSA) intends to issue regulations addressing the content of the provision on U.S. Government procured transportation included in the agreement to ensure that all are aware of the change made by the agreement. Regulations addressing air passenger transportation will be included in the FTR. GSA is in the process of drafting a proposed rule with request for comments on proposed revisions to the FTR that will be published in the Federal Register. Dated: July 17, 2007. Becky Rhodes, Deputy Associate Administrator. [FR Doc. E7–14900 Filed 7–31–07; 8:45 am] BILLING CODE 6820–14–P VerDate Aug<31>2005 20:12 Jul 31, 2007 Jkt 211001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day-07–0026] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–5960 and send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance Officer, 1600 Clifton Road, MS–D74, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov. Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection 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 on respondents, including through the use of automated collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Report of Verified Case of Tuberculosis (RVCT), (OMB No. 0920– 0026)—Revision—National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC). Background and Brief Description In the United States, an estimated 10 to 15 million people are infected with Mycobacterium tuberculosis and about 10% of these persons will develop tuberculosis (TB) disease at some point in their lives. The purpose of this project is to conduct the first major revision since 1993 of the national tuberculosis surveillance form, the Report of Verified Case of Tuberculosis (RVCT), to capture changes in the diagnosis and treatment of TB, and to better monitor trends in TB PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 epidemiology and outbreaks, in order to develop strategies to meet the national goal of TB elimination. CDC currently conducts and maintains the national surveillance system pursuant to the provisions of section 301(a) of the Public Service Act [42 U.S.C. 241] and section 306 of the Public Service Act [42 U.S.C. 241(a)]. Data are collected by 60 reporting areas (the 50 states, the District of Columbia, New York City, Puerto Rico, and 7 jurisdictions in the Pacific and Caribbean). In 2001, CDC’s Division of Tuberculosis Elimination (DTBE) initiated a comprehensive review of the RVCT. A work group with nearly 30 members from 15 TB programs, CDC, and the National TB Controllers Association (NTCA) convened 26 conference calls to consider variable revisions based on surveillance significance, ease of data collection, and ability to yield meaningful and useful data. The proposed revision further benefited from review by TB experts active in research and field services and was pilot-tested in two phases. Revisions resulting from stakeholder input include the capture of data on verified TB cases who do not meet the national surveillance definition since counted by another U.S. area, TB treatment was initiated in another country, or TB recurred less than 12 months after completion of therapy. The year the case was reported and the reporting jurisdiction were incorporated into state case identification number with fields for linking state case numbers to allow better tracking of such cases. New variables reflecting diagnostic updates since 1993 include nucleic acid amplification, interferon gamma release assay, computerized tomography, and genotyping. The dates of tuberculin skin test and of specimen collection for other diagnostic tests, along with result dates by laboratory type, were added. The primary reason the patient was evaluated for TB disease, and reasons for extending TB therapy beyond one year were added. Risk characteristics such as diabetes, end-stage renal disease, post-organ transplantation, other immunosuppression, anti-tumor necrosis factor-alpha therapy, contact with a drug-resistant case, contact with an infectious case, missed contacts, incomplete treatment for latent TB infection, immigration status for TB screening, and parental origin and international background for pediatric cases will also be collected. A variable was added to capture whether the TB patient moved during treatment and if so, where, with a check box to indicate E:\FR\FM\01AUN1.SGM 01AUN1 Federal Register / Vol. 72, No. 147 / Wednesday, August 1, 2007 / Notices transnational referral. Modifications include updates to drug regimens and drug susceptibility tests. Date of death and whether TB was a cause of death were added to status at diagnosis. Major site and additional sites of TB disease were combined to a single question. Smear, pathology, or cytology now capture histology results in addition to microbiology, and a single field for anatomic specimen code replaced two codes for positive specimens. Initial chest radiograph or other chest imaging was updated to capture whether an abnormal chest image shows a cavity or miliary TB, replacing miliary as a site of disease and simplifying check boxes for radiograph as cavitary, consistent with TB, stable, worsening, improving, or unknown. Whether patients were under custody of Immigration and Customs Enforcement was added to the correctional facility variable, and occupation was modified to capture the past year, with check boxes to differentiate persons not eligible for employment from the unemployed. Type of health care provider was clarified with categories of outpatient care. Reasons for culture conversion not being documented were incorporated, and adverse treatment event and death were added as reasons TB therapy stopped or never started. Deletions include removal of: (1) Soundex, a software code; (2) a text field to indicate who submitted the RVCT; (3) a check box asking whether the case was anergic; (4) CDC AIDS patient number; (5) how HIV positive status was determined; (6) a check box for more than one additional site of TB disease; and (7) site of directly observed therapy. DTBE is currently working with stakeholders and software team members towards development and implementation of an updated software module for the transition from the current software for RVCT data entry and electronic transmission of reports to CDC to collection and reporting of revised RVCT data. Following the transition, respondents will be able to use either the CDC associated TB module or their own TB surveillance application to collect and report RVCT 42097 data to CDC. CDC publishes an annual report using RVCT data to summarize national TB statistics and also periodically conducts special analyses for publication to further describe and interpret national TB data. These data assist in public health planning, evaluation, and resource allocation. Reporting areas also review and analyze their RVCT data to monitor local TB trends, evaluate program success, and focus resources to eliminate TB. No other Federal agency collects this type of national TB data. In addition to providing technical assistance on the use of RVCT, CDC provides technical support for reporting software. In this request, CDC is requesting approval for approximately 8050 burden hours, an estimated increase of 490 hours. This increase is due to the addition of information on new clinical diagnostic tests and factors to identify high-risk patients. There is no cost to respondents other than their time to participate in the survey. ESTIMATE OF ANNUALIZED BURDEN HOURS Types of respondents Number of respondents No. of responses per respondent Average burden per response (in hours) Total burden (in hours) Local, state, and territorial health departments ............................................... 60 230 35/60 8050 Dated: July 26, 2007. Maryam I. Daneshvar, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E7–14886 Filed 7–31–07; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60 Day–07–07BI] jlentini on PROD1PC65 with NOTICES Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–5960 and VerDate Aug<31>2005 20:12 Jul 31, 2007 Jkt 211001 send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance Officer, 1600 Clifton Road, MS–D74, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov. Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection 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 on respondents, including through the use of automated collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Rapid HIV Testing in Community Mental Health Settings Serving African Americans—New—National Center for HIV, Viral Hepatitis, STD and TB PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC). Background and Brief Description People with chronic mental illness, including those with substance use disorders, are at increased risk of HIV infection compared with the general population. However, not enough is known about the risk behaviors, willingness to be tested for HIV, and HIV prevalence among persons with chronic mental illness. In addition, the interrelations among diagnosis of HIV infection, compliance with medical care, subsequent risk behaviors, and the course of mental illness have not been well-described. Mental health clinics are an important setting for HIV rapid testing and promoting prevention efforts against the transmission of HIV infection. The objectives of this project are to (1) increase the number of mental health providers who routinely provide HIV counseling, testing, and linkage to care in settings that provide mental health care, especially those serving African American communities; and (2) describe the relationship between mental illness, E:\FR\FM\01AUN1.SGM 01AUN1

Agencies

[Federal Register Volume 72, Number 147 (Wednesday, August 1, 2007)]
[Notices]
[Pages 42096-42097]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-14886]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-07-0026]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-5960 
and send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail 
to omb@cdc.gov.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection 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 on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Report of Verified Case of Tuberculosis (RVCT), (OMB No. 0920-
0026)--Revision--National Center for HIV/AIDS, Viral Hepatitis, STD, 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    In the United States, an estimated 10 to 15 million people are 
infected with Mycobacterium tuberculosis and about 10% of these persons 
will develop tuberculosis (TB) disease at some point in their lives. 
The purpose of this project is to conduct the first major revision 
since 1993 of the national tuberculosis surveillance form, the Report 
of Verified Case of Tuberculosis (RVCT), to capture changes in the 
diagnosis and treatment of TB, and to better monitor trends in TB 
epidemiology and outbreaks, in order to develop strategies to meet the 
national goal of TB elimination.
    CDC currently conducts and maintains the national surveillance 
system pursuant to the provisions of section 301(a) of the Public 
Service Act [42 U.S.C. 241] and section 306 of the Public Service Act 
[42 U.S.C. 241(a)]. Data are collected by 60 reporting areas (the 50 
states, the District of Columbia, New York City, Puerto Rico, and 7 
jurisdictions in the Pacific and Caribbean). In 2001, CDC's Division of 
Tuberculosis Elimination (DTBE) initiated a comprehensive review of the 
RVCT. A work group with nearly 30 members from 15 TB programs, CDC, and 
the National TB Controllers Association (NTCA) convened 26 conference 
calls to consider variable revisions based on surveillance 
significance, ease of data collection, and ability to yield meaningful 
and useful data. The proposed revision further benefited from review by 
TB experts active in research and field services and was pilot-tested 
in two phases. Revisions resulting from stakeholder input include the 
capture of data on verified TB cases who do not meet the national 
surveillance definition since counted by another U.S. area, TB 
treatment was initiated in another country, or TB recurred less than 12 
months after completion of therapy. The year the case was reported and 
the reporting jurisdiction were incorporated into state case 
identification number with fields for linking state case numbers to 
allow better tracking of such cases. New variables reflecting 
diagnostic updates since 1993 include nucleic acid amplification, 
interferon gamma release assay, computerized tomography, and 
genotyping. The dates of tuberculin skin test and of specimen 
collection for other diagnostic tests, along with result dates by 
laboratory type, were added. The primary reason the patient was 
evaluated for TB disease, and reasons for extending TB therapy beyond 
one year were added. Risk characteristics such as diabetes, end-stage 
renal disease, post-organ transplantation, other immunosuppression, 
anti-tumor necrosis factor-alpha therapy, contact with a drug-resistant 
case, contact with an infectious case, missed contacts, incomplete 
treatment for latent TB infection, immigration status for TB screening, 
and parental origin and international background for pediatric cases 
will also be collected. A variable was added to capture whether the TB 
patient moved during treatment and if so, where, with a check box to 
indicate

[[Page 42097]]

transnational referral. Modifications include updates to drug regimens 
and drug susceptibility tests. Date of death and whether TB was a cause 
of death were added to status at diagnosis. Major site and additional 
sites of TB disease were combined to a single question. Smear, 
pathology, or cytology now capture histology results in addition to 
microbiology, and a single field for anatomic specimen code replaced 
two codes for positive specimens. Initial chest radiograph or other 
chest imaging was updated to capture whether an abnormal chest image 
shows a cavity or miliary TB, replacing miliary as a site of disease 
and simplifying check boxes for radiograph as cavitary, consistent with 
TB, stable, worsening, improving, or unknown. Whether patients were 
under custody of Immigration and Customs Enforcement was added to the 
correctional facility variable, and occupation was modified to capture 
the past year, with check boxes to differentiate persons not eligible 
for employment from the unemployed. Type of health care provider was 
clarified with categories of outpatient care. Reasons for culture 
conversion not being documented were incorporated, and adverse 
treatment event and death were added as reasons TB therapy stopped or 
never started. Deletions include removal of: (1) Soundex, a software 
code; (2) a text field to indicate who submitted the RVCT; (3) a check 
box asking whether the case was anergic; (4) CDC AIDS patient number; 
(5) how HIV positive status was determined; (6) a check box for more 
than one additional site of TB disease; and (7) site of directly 
observed therapy. DTBE is currently working with stakeholders and 
software team members towards development and implementation of an 
updated software module for the transition from the current software 
for RVCT data entry and electronic transmission of reports to CDC to 
collection and reporting of revised RVCT data. Following the 
transition, respondents will be able to use either the CDC associated 
TB module or their own TB surveillance application to collect and 
report RVCT data to CDC. CDC publishes an annual report using RVCT data 
to summarize national TB statistics and also periodically conducts 
special analyses for publication to further describe and interpret 
national TB data. These data assist in public health planning, 
evaluation, and resource allocation. Reporting areas also review and 
analyze their RVCT data to monitor local TB trends, evaluate program 
success, and focus resources to eliminate TB. No other Federal agency 
collects this type of national TB data. In addition to providing 
technical assistance on the use of RVCT, CDC provides technical support 
for reporting software. In this request, CDC is requesting approval for 
approximately 8050 burden hours, an estimated increase of 490 hours. 
This increase is due to the addition of information on new clinical 
diagnostic tests and factors to identify high-risk patients. There is 
no cost to respondents other than their time to participate in the 
survey.

                                       Estimate of Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                    No. of       Average burden
            Types of respondents                 Number of      responses per     per response     Total burden
                                                respondents       respondent       (in hours)       (in hours)
----------------------------------------------------------------------------------------------------------------
Local, state, and territorial health                      60              230            35/60             8050
 departments................................
----------------------------------------------------------------------------------------------------------------


    Dated: July 26, 2007.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E7-14886 Filed 7-31-07; 8:45 am]
BILLING CODE 4163-18-P
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