Agency Forms Undergoing Paperwork Reduction Act Review, 7457-7458 [2014-02668]
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Federal Register / Vol. 79, No. 26 / Friday, February 7, 2014 / Notices
c. Is there evidence that the data is
used by consumers?
d. Is the data relevant to consumers
making healthcare decisions?
e. Is the data easily accessible and
presented in a consumer friendly way?
3. What are the intended and
unintended consequences of consumers’
use of public-reported cost data?
a. Do consumers find the public
reporting of cost measures relevant and
are consumers satisfied with the
experience?
b. Does the public reporting of cost
measures impact (or have the potential
to impact) consumers’ decisions or
behaviors?
c. What are the potential unintended
consequences of public reporting of cost
measures?
d. Are there key research gaps and
needs for future research?
Dated: January 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014–02170 Filed 2–6–14; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–14–13AGH]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call (404) 639–7570 or send an
email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Examining Traumatic Brain Injury in
Youth—New—National Center for
Injury Prevention and Control (NCIPC),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Traumatic brain injury (TBI) is one of
the highest priorities in public health
because of its magnitude, economic and
human impact, and preventability. The
Centers for Disease Control and
Prevention (CDC) estimates that
approximately 1.7 million TBIs are
sustained in the United States annually,
either alone or in conjunction with
another injury or condition. These
figures may be an underestimation as
they do not include people who are
treated in physicians’ offices or
outpatient facilities, those who did not
seek medical care, military personnel, or
Americans living abroad. Moreover, the
number of sports and recreation-related
TBIs treated in U.S. emergency
departments is increasing and has
increased steadily since the early 2000s.
Children ages 0 to 4 years and
adolescents ages 15–19 are at the
greatest risk of sustaining a TBI.
A TBI is caused by a bump, blow or
jolt to the head or a penetrating head
injury that disrupts the normal function
of the brain. The severity of a TBI may
range from ‘‘mild’’ (a brief change in
mental status or consciousness) to
‘‘severe’’ (an extended period of
unconsciousness or amnesia after the
injury).
In 1996, Congress passed Public Law
104–166, the Traumatic Brain Injury
Act, which charged CDC with
implementing projects to reduce the
incidence of traumatic brain injury. The
CDC definition of TBI uses selected
codes of the International Classification
of Diseases, 9th Clinical Modification
(ICD–9 CM) to identify cases of TBI from
hospital and non-hospital databases
containing billing records for services
rendered to patients. It is thought,
however, that the ICD–9 CM codes
currently used in CDC’s surveillance
system to capture cases of TBI are not
sufficiently sensitive to capture
diagnosed TBI.
CDC requests OMB approval for one
year to collect de-identified medical
information of a representative sample
of pediatric patients, from two clinical
settings, who received a confirmed
diagnosis of mild to severe TBI and link
these patients to their administrative
medical claims forms. Collectively, the
data will allow CDC to estimate the
sensitivity of currently utilized ICD–9
CM codes to capture cases of diagnosed
TBI, as well as ICD–9 CM codes not
currently being utilized that may
improve the sensitivity to capture cases
of TBI. We propose to conduct a
retrospective cross-sectional study of a
random sample of patients with a
suspected TBI within two clinical
settings (Emergency Departments and
Concussion Clinics).
A review of the medical coding data
for additional ICD–9 CM codes that are
not part of the CDC TBI definition will
also take place to determine whether the
addition of any of these codes improves
the sensitivity of the CDC TBI definition
to detect TBI.
The Emergency Department medical
records of 150 patients will be
abstracted in order to review ICD–9
codes and TBI diagnoses. Each record
will take 60 minutes to abstract. Also,
50 patient medical records from the
Concussion Clinic, located within the
hospital, will be abstracted in order to
review the selection criteria to confirm
eligibility, which includes age of the
patient, and the valid encounter with
physician or nurse related to an injury
consistent with a TBI. Each record will
take 60 minutes to abstract. The same
Research Assistant will be abstracting
the data within the Emergency
Department and the Concussion Clinic.
There are no costs to respondents
other than their time. The total
estimated annual burden hours are 200.
ESTIMATED ANNUALIZED BURDEN HOURS
mstockstill on DSK4VPTVN1PROD with NOTICES
Type of
respondent
Form name
Emergency Department Research Assistant ..
Concussion Clinic Research Assistant ...........
TBI Records Data Tool ..................................
TBI Records Data Tool ..................................
VerDate Mar<15>2010
17:17 Feb 06, 2014
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PO 00000
Frm 00036
Fmt 4703
Sfmt 4703
Number of
responses per
respondent
Number of
respondents
E:\FR\FM\07FEN1.SGM
1
1
07FEN1
150
50
Average
burden per
response
(in hrs.)
1
1
7458
Federal Register / Vol. 79, No. 26 / Friday, February 7, 2014 / Notices
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2014–02668 Filed 2–6–14; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–14–13PR]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call (404) 639–7570 or send an
email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
Evaluating the Implementation and
Outcomes of Policy and Environmental
Cancer Control Interventions—New—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The National Comprehensive Cancer
Control Program (NCCCP) is
administered by the Centers for Disease
Control and Prevention, National Center
for Chronic Disease Prevention and
Health Promotion, Division of Cancer
Prevention and Control. Through the
NCCCP, 65 awardees receive support
through cooperative agreements (CDC–
RFA–DP12–1205). The current
cooperative agreements maintain core
comprehensive cancer control (CCC)
activities and build on policy, system,
and environmental (PSE) change
strategies that many NCCCP programs
have begun to incorporate into their
program plans and initiatives. Awardees
provide routine progress reports to CDC
which describe their overall objectives
and activities (Management Information
System for Comprehensive Cancer
Control Programs, OMB No. 0920–0841,
exp. 3/31/2016).
In 2010, additional pilot funding was
provided under CDC–RFA–D10–1017 to
13 of the 65 NCCCP awardees (‘‘1017
awardees’’). The additional funds are
intended to increase awardees’ focus on
PSE change strategies relating to cancer
control, and to strengthen collaboration
with both traditional and nontraditional
partners. With additional resources and
structure, CDC hopes that 1017
awardees will achieve greater health
impact through increased skills and
capacity and enhanced interactions with
partners. CDC plans to conduct a new
information collection to assess whether
the 1017 pilot is meeting its goals and
to compare the experiences of NCCCP
programs funded at both levels of
support. The study design includes a
Web-based survey of all 65 CCC funded
programs, administered at two points in
time; a longitudinal case study of 6 of
the 1017 programs involving interviews
with key awardee staff and NCCCP
partners; focus groups with staff who
provide technical assistance related to
the 1017 program; and a one-time
survey of coalition members and
strategic partners who are collaborating
with 1017 awardees.
Information collection activities are
designed to address specific evaluation
questions,such as: Did 1017 cooperative
agreement funding, training and
technical assistance enhance the ability
of grantees to inform PSE change as part
of comprehensive cancer control?; Did
the 1017 cooperative agreement
facilitate a shift towards primary
prevention?; How did 1017 programs
build infrastructure required to develop
an environmental scan, policy agenda,
evaluation plan, and media plans?;
What methods were used by 1017
programs to develop the policy agenda
and media plan?; What key outcomes
were achieved by 1017 programs?; How
did the PSE Workgroups facilitate
implementation and achievement of
PSE change?; and What lessons have
been learned that could inform the
expansion of the 1017 program to the
other NCCCP-funded programs?
Findings will be used to improve
program guidance and direct future
investments in the NCCCP.
OMB approval is requested for three
years. Participation is voluntary and
there are no costs to the respondents
other than their time. The total
estimated annualized burden hours are
161.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
Form name
CCC Program Directors ........
CCC Staff ..............................
Program Director Web Survey Questionnaire .......................
Key Informant Selection ........................................................
Key Informant Recruitment/Scheduling .................................
Key Informant Interview Guide ..............................................
Key Informant Recruitment/Scheduling .................................
Key Informant Interview Guide ..............................................
Coalition Survey ....................................................................
TA Provider Focus Group Guide ...........................................
mstockstill on DSK4VPTVN1PROD with NOTICES
CCC Partners ........................
VerDate Mar<15>2010
17:17 Feb 06, 2014
Jkt 232001
PO 00000
Frm 00037
Fmt 4703
Sfmt 9990
E:\FR\FM\07FEN1.SGM
Number of
responses per
respondent
43
2
12
12
48
48
87
15
07FEN1
1
1
1
1
1
1
1
1
Average
burden per
response
(in hr)
.5
8
5/60
1.5
5/60
1
20/60
1.5
]]>Agencies
[Federal Register Volume 79, Number 26 (Friday, February 7, 2014)]
[Notices]
[Pages 7457-7458]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-02668]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-14-13AGH]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
(404) 639-7570 or send an email to omb@cdc.gov. Send written comments
to CDC Desk Officer, Office of Management and Budget, Washington, DC
20503 or by fax to (202) 395-5806. Written comments should be received
within 30 days of this notice.
Proposed Project
Examining Traumatic Brain Injury in Youth--New--National Center for
Injury Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Traumatic brain injury (TBI) is one of the highest priorities in
public health because of its magnitude, economic and human impact, and
preventability. The Centers for Disease Control and Prevention (CDC)
estimates that approximately 1.7 million TBIs are sustained in the
United States annually, either alone or in conjunction with another
injury or condition. These figures may be an underestimation as they do
not include people who are treated in physicians' offices or outpatient
facilities, those who did not seek medical care, military personnel, or
Americans living abroad. Moreover, the number of sports and recreation-
related TBIs treated in U.S. emergency departments is increasing and
has increased steadily since the early 2000s. Children ages 0 to 4
years and adolescents ages 15-19 are at the greatest risk of sustaining
a TBI.
A TBI is caused by a bump, blow or jolt to the head or a
penetrating head injury that disrupts the normal function of the brain.
The severity of a TBI may range from ``mild'' (a brief change in mental
status or consciousness) to ``severe'' (an extended period of
unconsciousness or amnesia after the injury).
In 1996, Congress passed Public Law 104-166, the Traumatic Brain
Injury Act, which charged CDC with implementing projects to reduce the
incidence of traumatic brain injury. The CDC definition of TBI uses
selected codes of the International Classification of Diseases, 9th
Clinical Modification (ICD-9 CM) to identify cases of TBI from hospital
and non-hospital databases containing billing records for services
rendered to patients. It is thought, however, that the ICD-9 CM codes
currently used in CDC's surveillance system to capture cases of TBI are
not sufficiently sensitive to capture diagnosed TBI.
CDC requests OMB approval for one year to collect de-identified
medical information of a representative sample of pediatric patients,
from two clinical settings, who received a confirmed diagnosis of mild
to severe TBI and link these patients to their administrative medical
claims forms. Collectively, the data will allow CDC to estimate the
sensitivity of currently utilized ICD-9 CM codes to capture cases of
diagnosed TBI, as well as ICD-9 CM codes not currently being utilized
that may improve the sensitivity to capture cases of TBI. We propose to
conduct a retrospective cross-sectional study of a random sample of
patients with a suspected TBI within two clinical settings (Emergency
Departments and Concussion Clinics).
A review of the medical coding data for additional ICD-9 CM codes
that are not part of the CDC TBI definition will also take place to
determine whether the addition of any of these codes improves the
sensitivity of the CDC TBI definition to detect TBI.
The Emergency Department medical records of 150 patients will be
abstracted in order to review ICD-9 codes and TBI diagnoses. Each
record will take 60 minutes to abstract. Also, 50 patient medical
records from the Concussion Clinic, located within the hospital, will
be abstracted in order to review the selection criteria to confirm
eligibility, which includes age of the patient, and the valid encounter
with physician or nurse related to an injury consistent with a TBI.
Each record will take 60 minutes to abstract. The same Research
Assistant will be abstracting the data within the Emergency Department
and the Concussion Clinic.
There are no costs to respondents other than their time. The total
estimated annual burden hours are 200.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hrs.)
----------------------------------------------------------------------------------------------------------------
Emergency Department Research TBI Records Data Tool... 1 150 1
Assistant.
Concussion Clinic Research Assistant.. TBI Records Data Tool... 1 50 1
----------------------------------------------------------------------------------------------------------------
[[Page 7458]]
Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-02668 Filed 2-6-14; 8:45 am]
BILLING CODE 4163-18-P
