Agency Forms Undergoing Paperwork Reduction Act Review, 9725-9727 [2015-03616]
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Federal Register / Vol. 80, No. 36 / Tuesday, February 24, 2015 / Notices
interventions and core public health
strategies for HIV prevention. CBA is
provided to support health departments,
community-based organizations, and
healthcare organizations in the
implementation, monitoring and
evaluation of evidence-based HIV
prevention interventions and programs;
building organizational infrastructure;
and community mobilization to
decrease stigma and increase HIV
testing in high risk communities. CBA
services are requested by health
departments, community-based
organizations, and healthcare
organizations and also offered
proactively. Under this project, there
will be no duplication of information
collection, because it builds on existing,
OMB approved data collection
activities.
The PTCs and CBA providers offer
classroom and experiential training,
web-based training, clinical
consultation, and capacity building
assistance to maintain and enhance the
capacity of healthcare professionals to
control and prevent STDs and HIV. The
CBA service recipients are healthcare
professionals who work at communitybased organizations (CBOs), health
departments, and healthcare
organizations, most of whom are funded
directly or indirectly by the CDC,
involved in HIV prevention service
delivery. Their positions include HIV
educator, clinical supervisor, HIV
prevention specialist, clinician,
outreach worker, case manager director,
program coordinator, program manager,
of knowledge and skills, potential
organization changes as a result of CBA
services) and to solicit information
about how the CBA program can be
improved. Administered by the project
contractor, the CBA key informant
interviews will be conducted via
telephone with a subset of up to 40
recipients of CBA services. The
interview takes approximately 15
minutes to complete.
The 7,400 respondents represent an
average of the number of health
professionals who receive training and
technical assistance from the CBA and
PTC grantees during the years 2010 and
2011. The data collection is necessary
(a) to assess CBA consumers’
(community-based organizations, health
departments, and healthcare
organizations) satisfaction with and
short-term outcomes from the overall
CBA program as well as specific
elements of the CBA program; (b) to
improve CBA services and enhance the
Capacity Building Branch’s national
capacity building strategy over time; (c)
to assess the performance of the grantees
in delivering training and technical
assistance and to standardize the
registration processes across the two
CBA programs (i.e., the PTC program
and the CBA program) and multiple
grantees funded by each program.
There are no costs to respondents
other than their time. The estimated
annualized burden hours for this data
collection activity are 3,710 hours.
disease intervention specialist, partner
services provider, physicians, nurses,
and health educators, etc.
CDC is requesting to use two webbased assessments that will be
administered to recipients of CBA
services: (1) Training Follow-Up
Instrument and (2) Technical Assistance
Satisfaction Instrument. The first
quantitative assessment will be
disseminated 90 days after a training
event to agency staff who participated in
a training activity. It takes
approximately 12 minutes to complete.
The purpose of this web-based
assessment is to determine the training
participants’ satisfaction with the
trainers, training materials, and the
course pace, benefits from the training,
and CBA needs, how relevant the
training was to their work, and whether
they were able to utilize the information
gained from the training. The second
quantitative assessment will be
disseminated 45 days after a technical
assistance event to agency staff who
participated in a technical assistance.
This instrument takes approximately 12
minutes to complete. The purpose of the
second assessment is to assess
participants’ satisfaction with the
technical assistance they received,
intended or actual use of enhanced
capacity, barriers and facilitators to use,
and benefits of the technical assistance.
The purpose of the CBA Key
Informant Interview is to collect
qualitative information to assess the
impact of CBA services on
organizational capacity (e.g., application
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
(in hours)
Total
burden
hours
Type of respondent
Form name
Healthcare professionals ..................
Training Follow-up Instrument .........
Technical Assistance Satisfaction
Instrument.
CBA Key Informant Interview ...........
3,700
3,700
2
2
15/60
15/60
1,850
1,850
40
1
15/60
10
...........................................................
........................
........................
........................
3,710
Total ...........................................
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2015–03618 Filed 2–23–15; 8:45 am]
tkelley on DSK3SPTVN1PROD with 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.
[30Day–15–0900]
BILLING CODE 4163–18–P
Agency Forms Undergoing Paperwork
Reduction Act Review
Centers for Disease Control and
Prevention
The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
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(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is
published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
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Federal Register / Vol. 80, No. 36 / Tuesday, February 24, 2015 / Notices
the functions of the agency, including
whether the information will have
practical utility; (b) Evaluate the
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected; (d) 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 submission of
responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Written
comments and/or suggestions regarding
the items contained in this notice
should be directed to the Attention:
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
Contact Investigation Outcome
Reporting Forms (0920–0900)—
Revision—(expiration date: October 31,
2017)—National Center for Emerging
and Zoonotic Infectious Diseases
(NCEZID), Division of Global Migration
and Quarantine (DGMQ), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and
Prevention (CDC), Division of Global
Migration and Quarantine (DGMQ)
requests revision to a currently
approved information collection, OMB
Control No 0920–0900, Contact
Investigation Outcome Reporting Forms.
CDC is requesting the addition of Ebolaspecific information collection tools to
supplement the Centers for Disease
Control and Prevention’s (CDC) routine
contact investigation activities so that
CDC can better assess the risk to
individuals who may have been
exposed to a confirmed case of Ebola
while traveling to or within the United
States. These forms were approved by
OMB under an emergency clearance,
OMB Control No 0920–1032. The
additional forms to be added are as
follows:
• Ebola Airline passenger exposure
questionnaire—This contact
investigation form gathers information
from airline passengers who traveled on
plane(s) and sat within a 3 foot area
around the suspected case and travel
companions of the suspected case to
determine the level of exposure and
risk, as well as other passengers who
may have had contact with the case’s
bodily fluids. Information gathered in
this form is shared with the CDC to
determine risk level. Risk levels are
outlined in CDC’s Movement and
Monitoring Guidance.
• Ebola exposure Assessment Flight
Crew—The flight exposure
questionnaire is used to ascertain the
same relevant information included in
the passenger questionnaire for all crew
who worked on flight(s) and came into
contact with Ebola patient(s).
• Ebola exposure Assessment
Cleaning Crew—This form collects the
same information as the flight crew
exposure questionnaire, used to
determine the level of exposure a
member of the cleaning crew who
serviced a flight with an ill patient(s).
• Ebola exposure Assessment Airport
or other port of entry staff—This
questionnaire is utilized for airport staff
who may have come into contact with
a person ill with Ebola. Airport staff is
identified through conversations with
airport authority to determine which
employees carried out tasks that would
have put them in contact with the ill
person or their body fluids.
• Passengers of other commercial
conveyance Ebola exposure
questionnaire—This questionnaire
collects the same information as the
airline passenger questionnaire but will
be utilized for passengers of commercial
conveyance that is land- or waterborne.
• Finally, the introduction and
confirmation script is to be used by CDC
staff manning open call lines available
for persons who traveled on planes that
carried suspected or confirmed patients
with Ebola. As with the other
questionnaires, this script assesses the
risk of a plan passenger who was not in
the immediate vicinity of the Ebola
patient but still has concerns about the
level of exposure and risk of contracting
the virus.
CDC is not proposing any changes to
the routine contact investigation forms
already approved under this
information collection request.
The total burden associated with this
revision is 10,949 hours, including both
standard contact investigation forms
and updated forms to account for Ebola
transmission. There are no costs to
respondents other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
Form name
State/local health department staff .................
General Contact Investigation Outcome Reporting Form (Air).
General Contact Investigation Outcome Reporting Form (Maritime—word version).
General Contact Investigation Outcome Reporting Form (Maritime—Excel version).
General Contact Investigation Outcome Reporting Form (Land).
TB Contact Investigation Outcome Reporting
Form (Air).
TB Contact Investigation Outcome Reporting
Form (Maritime—word version).
TB Contact Investigation Outcome Reporting
Form (Maritime—Excel version).
Measles Contact Investigation Outcome Reporting Form (Air).
Measles Contact Investigation Outcome Reporting Form (Maritime—word version).
Cruise Ship Physicians/Cargo Ship Managers
Cruise Ship Physicians/Cargo Ship Managers
State/local health department staff .................
tkelley on DSK3SPTVN1PROD with NOTICES
State/local health department staff .................
Cruise Ship Physicians/Cargo Ship Managers
Cruise Ship Physicians/Cargo Ship Managers
State/local health department staff .................
Cruise Ship Physicians/Cargo Ship Managers
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Number of
responses per
Average
burden per
response
12
1
5/60
100
1
5/60
100
1
5/60
12
1
5/60
1,244
1
5/60
150
1
5/60
150
1
5/60
964
1
5/60
63
1
5/60
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Federal Register / Vol. 80, No. 36 / Tuesday, February 24, 2015 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents
Type of respondent
Form name
Cruise Ship Physicians/Cargo Ship Managers
Measles Contact Investigation Outcome Reporting Form (Maritime—excel version).
Rubella Contact Investigation Outcome Reporting Form (Air).
Rubella Contact Investigation Outcome Reporting Form (Maritime –word version).
Rubella Contact Investigation Outcome Reporting Form (Maritime—excel version).
Ebola Airline Exposure Assessment Passenger.
Ebola Airline Exposure Assessment Flight
Crew.
Ebola Airline Exposure Assessment Cleaning
Crew.
Ebola Airline Exposure Assessment Airport
or Other Port of Entry Staff.
Ebola Exposure Questionnaire for Passengers on other commercial conveyances.
Script—Introduction and Confirmation ...........
State/local health department staff .................
Cruise Ship Physicians/Cargo Ship Managers
Cruise Ship Physicians/Cargo Ship Managers
Passenger .......................................................
Flight Crew ......................................................
Cleaning Crew ................................................
Airport or Other Port of Entry Staff .................
Passengers on other commercial conveyances.
Traveler ...........................................................
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. 2015–03616 Filed 2–23–15; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention (CDC)
[60Day–15–14APJ]
tkelley on DSK3SPTVN1PROD with NOTICES
Proposed Data Collections Submitted
for Public Comment and
Recommendations
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 to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. To request more
information on the below proposed
project or to obtain a copy of the
information collection plan and
instruments, call 404–639–7570 or send
comments to Leroy A. Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. Comments are invited on: (a)
VerDate Sep<11>2014
17:31 Feb 23, 2015
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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; (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; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. Written comments should
be received within 60 days of this
notice.
Proposed Project
Using Rapid Assessment Methods to
Understand Issues in HIV Prevention,
Care and Treatment in the United
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Number of
responses per
Average
burden per
response
63
1
5/60
95
1
5/60
12
1
5/60
12
1
5/60
3,400
2
20/60
2,400
2
20/60
1,200
2
20/60
1,000
2
20/60
1,800
2
20/60
50,000
1
5/60
States—New—National Center for HIV/
AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and
Prevention requests approval for a 3year clearance to collect data using
rapid qualitative inquiries to understand
issues related to HIV prevention, care,
and treatment in the United States.
Rapid inquiries are concentrated data
collection and iterative data analytic
efforts focused on timely and relevant
responses to urgent issues and research
questions. Although we will collect the
majority of data using qualitative
methods, many studies covered under
this generic information collection, will
involve a mixed methods approach for
data collection.
The rapid inquiries will include
multiple well-established qualitative
methodologies, which may include but
not be limited to in-depth individual
interviews, focus groups, direct
observations, case studies, document
reviews, or brief quantitative surveys
assessing demographics, behaviors,
attitudes, intentions, beliefs, or other
attributes of the respondents. In some
assessments, additional contextual
information may be collected, such as
information about the respondents’
community, workplaces, or
organizations and places where they
interact. CDC expects to qualitative data
from approximately 1,800 respondents,
assuming three research studies per year
with each research study collecting data
from 200 respondents.
For all proposed studies under this
generic information collection, our
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]]>Agencies
[Federal Register Volume 80, Number 36 (Tuesday, February 24, 2015)]
[Notices]
[Pages 9725-9727]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-03616]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0900]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of
[[Page 9726]]
the functions of the agency, including whether the information will
have practical utility; (b) Evaluate the accuracy of the agencies
estimate of the burden of the proposed collection of information,
including the validity of the methodology and assumptions used; (c)
Enhance the quality, utility, and clarity of the information to be
collected; (d) 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 submission of responses; and (e) Assess information
collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: 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
Contact Investigation Outcome Reporting Forms (0920-0900)--
Revision--(expiration date: October 31, 2017)--National Center for
Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global
Migration and Quarantine (DGMQ), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC), Division of
Global Migration and Quarantine (DGMQ) requests revision to a currently
approved information collection, OMB Control No 0920-0900, Contact
Investigation Outcome Reporting Forms. CDC is requesting the addition
of Ebola-specific information collection tools to supplement the
Centers for Disease Control and Prevention's (CDC) routine contact
investigation activities so that CDC can better assess the risk to
individuals who may have been exposed to a confirmed case of Ebola
while traveling to or within the United States. These forms were
approved by OMB under an emergency clearance, OMB Control No 0920-1032.
The additional forms to be added are as follows:
Ebola Airline passenger exposure questionnaire--This
contact investigation form gathers information from airline passengers
who traveled on plane(s) and sat within a 3 foot area around the
suspected case and travel companions of the suspected case to determine
the level of exposure and risk, as well as other passengers who may
have had contact with the case's bodily fluids. Information gathered in
this form is shared with the CDC to determine risk level. Risk levels
are outlined in CDC's Movement and Monitoring Guidance.
Ebola exposure Assessment Flight Crew--The flight exposure
questionnaire is used to ascertain the same relevant information
included in the passenger questionnaire for all crew who worked on
flight(s) and came into contact with Ebola patient(s).
Ebola exposure Assessment Cleaning Crew--This form
collects the same information as the flight crew exposure
questionnaire, used to determine the level of exposure a member of the
cleaning crew who serviced a flight with an ill patient(s).
Ebola exposure Assessment Airport or other port of entry
staff--This questionnaire is utilized for airport staff who may have
come into contact with a person ill with Ebola. Airport staff is
identified through conversations with airport authority to determine
which employees carried out tasks that would have put them in contact
with the ill person or their body fluids.
Passengers of other commercial conveyance Ebola exposure
questionnaire--This questionnaire collects the same information as the
airline passenger questionnaire but will be utilized for passengers of
commercial conveyance that is land- or waterborne.
Finally, the introduction and confirmation script is to be
used by CDC staff manning open call lines available for persons who
traveled on planes that carried suspected or confirmed patients with
Ebola. As with the other questionnaires, this script assesses the risk
of a plan passenger who was not in the immediate vicinity of the Ebola
patient but still has concerns about the level of exposure and risk of
contracting the virus.
CDC is not proposing any changes to the routine contact
investigation forms already approved under this information collection
request.
The total burden associated with this revision is 10,949 hours,
including both standard contact investigation forms and updated forms
to account for Ebola transmission. There are no costs to respondents
other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Number of Average burden
Type of respondent Form name respondents responses per per response
----------------------------------------------------------------------------------------------------------------
State/local health department staff... General Contact 12 1 5/60
Investigation Outcome
Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship General Contact 100 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime--word
version).
Cruise Ship Physicians/Cargo Ship General Contact 100 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime--Excel
version).
State/local health department staff... General Contact 12 1 5/60
Investigation Outcome
Reporting Form (Land).
State/local health department staff... TB Contact Investigation 1,244 1 5/60
Outcome Reporting Form
(Air).
Cruise Ship Physicians/Cargo Ship TB Contact Investigation 150 1 5/60
Managers. Outcome Reporting Form
(Maritime--word
version).
Cruise Ship Physicians/Cargo Ship TB Contact Investigation 150 1 5/60
Managers. Outcome Reporting Form
(Maritime--Excel
version).
State/local health department staff... Measles Contact 964 1 5/60
Investigation Outcome
Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship Measles Contact 63 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime--word
version).
[[Page 9727]]
Cruise Ship Physicians/Cargo Ship Measles Contact 63 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime--excel
version).
State/local health department staff... Rubella Contact 95 1 5/60
Investigation Outcome
Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship Rubella Contact 12 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime -word
version).
Cruise Ship Physicians/Cargo Ship Rubella Contact 12 1 5/60
Managers. Investigation Outcome
Reporting Form
(Maritime--excel
version).
Passenger............................. Ebola Airline Exposure 3,400 2 20/60
Assessment Passenger.
Flight Crew........................... Ebola Airline Exposure 2,400 2 20/60
Assessment Flight Crew.
Cleaning Crew......................... Ebola Airline Exposure 1,200 2 20/60
Assessment Cleaning
Crew.
Airport or Other Port of Entry Staff.. Ebola Airline Exposure 1,000 2 20/60
Assessment Airport or
Other Port of Entry
Staff.
Passengers on other commercial Ebola Exposure 1,800 2 20/60
conveyances. Questionnaire for
Passengers on other
commercial conveyances.
Traveler.............................. Script--Introduction and 50,000 1 5/60
Confirmation.
----------------------------------------------------------------------------------------------------------------
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. 2015-03616 Filed 2-23-15; 8:45 am]
BILLING CODE 4163-18-P
