Proposed Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury, 45588-45589 [2017-20903]

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[FR Doc. 2017–20871 Filed 9–28–17; 8:45 am] BILLING CODE 6760–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC–2017–0089] Proposed Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of Availability; request for comment. AGENCY: BILLING CODE 6210–01–P PO 00000 executives based on their relative performance and organizational results and provide recommendations for ratings, awards, and pay adjustments in a fair and equitable manner: Susan Crowder, Gisile Goethe, Renee Wilder Guerin, and Kim Weaver. Sfmt 4703 The Centers for Disease Control and Prevention (CDC), located within the Department of Health and Human Services (HHS) announces the opening of a docket to obtain public comment on two documents; a Systematic Review of the evidence on the diagnosis, prognosis, and management of pediatric mild traumatic brain injury (TBI), and an evidencebased Guideline that offers clinical recommendations for healthcare providers. Public comments will be considered and will inform revisions to the systematic review and guideline. DATES: Written comments must be received on or before November 28, 2017. SUMMARY: You may submit comments, identified by Docket No. CDC–2017– 0089, by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Attn: Docket No. CDC–2017–0089, 4770 Buford Highway NE., Mailstop F–63, Atlanta, Georgia 30341. Instructions: All submissions received must include the agency name and docket number or RIN. All relevant public comments received will be posted without change to https:// ADDRESSES: E:\FR\FM\29SEN1.SGM 29SEN1 Federal Register / Vol. 82, No. 188 / Friday, September 29, 2017 / Notices asabaliauskas on DSKBBXCHB2PROD with NOTICES www.regulations.gov, including any personal or proprietary information provided. To download an electronic version of the Guideline and appendices, go to https:// www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Arlene Greenspan, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE., Mailstop F– 63, Atlanta, Georgia 30341; Telephone: (770) 488–4696. SUPPLEMENTARY INFORMATION: The Pediatric Mild Traumatic Brain Injury Workgroup, a workgroup of the National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC), conducted a systematic review of the evidence and drafted the clinical recommendations. The NCIPC/BSC is a federal advisory committee comprised of leading experts in the field of injury and violence prevention that makes recommendations to the HHS Secretary, the CDC Director, and the NCIPC Director. The workgroup consists of subject matter experts in neurosurgery, pediatrics, emergency medicine, nursing, neurology, rehabilitation, neuroimaging, internal and family medicine, sports medicine, and school health. The systematic review and clinical recommendations drafted by the Pediatric Mild Traumatic Brain Injury Workgroup served as the primary foundation for the CDC Systematic Review and CDC Guideline. Supporting and Related Material in the Docket The docket contains the following supporting and related materials to help inform public comment: the Systematic Review including data tables, and the Guideline including the key recommendations. The document, Diagnosis and Management of Mild Traumatic Brain Injury Among Children: A Systematic Review, summarizes findings from 25 years of research on the diagnosis, prognosis, and management of pediatric mild TBI. In this review, evidence is summarized for six clinical questions using a rigorous evidence rating methodology. The draft CDC Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children focuses on diagnosis and management of acute mild traumatic brain injury (TBI) among children and adolescents (age 18 and under). The Guideline is designed for use by acute care and primary care providers who diagnose and manage patients with mild TBI resulting from both unintentional and intentional injuries. The VerDate Sep<11>2014 18:50 Sep 28, 2017 Jkt 241001 recommendations contained in the Guideline were developed based on findings from the Systematic Review. This Guideline is not a federal rule or regulation; adherence to the Guideline will be voluntary. Dated: September 26, 2017. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2017–20903 Filed 9–28–17; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers CMS–10224, CMS– 222–17, CMS–216–94, and CMS–265–11] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, HHS. ACTION: Notice. AGENCY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. 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To be assured consideration, comments and recommendations must be received by the OMB desk officer via one of the SUMMARY: PO 00000 Frm 00015 Fmt 4703 Sfmt 4703 45589 following transmissions: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395–5806 Or, Email: OIRA_submission@omb.eop.gov. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following: 1. Access CMS’ Web site address at https://www.cms.gov/Regulations-andGuidance/Legislation/ PaperworkReductionActof1995/PRAListing.html. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 3. Call the Reports Clearance Office at (410) 786–1326. FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786–4669. 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. The term ‘‘collection of information’’ is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires federal agencies to publish a 30-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice that summarizes the following proposed collection(s) of information for public comment: 1. 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[Federal Register Volume 82, Number 188 (Friday, September 29, 2017)]
[Notices]
[Pages 45588-45589]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-20903]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2017-0089]


Proposed Centers for Disease Control and Prevention Guideline on 
the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice of Availability; request for comment.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC), located 
within the Department of Health and Human Services (HHS) announces the 
opening of a docket to obtain public comment on two documents; a 
Systematic Review of the evidence on the diagnosis, prognosis, and 
management of pediatric mild traumatic brain injury (TBI), and an 
evidence-based Guideline that offers clinical recommendations for 
healthcare providers. Public comments will be considered and will 
inform revisions to the systematic review and guideline.

DATES: Written comments must be received on or before November 28, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0089, by any of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: National Center for Injury Prevention and Control, 
Centers for Disease Control and Prevention, Attn: Docket No. CDC-2017-
0089, 4770 Buford Highway NE., Mailstop F-63, Atlanta, Georgia 30341.
    Instructions: All submissions received must include the agency name 
and docket number or RIN. All relevant public comments received will be 
posted without change to https://

[[Page 45589]]

www.regulations.gov, including any personal or proprietary information 
provided. To download an electronic version of the Guideline and 
appendices, go to https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Arlene Greenspan, National Center for 
Injury Prevention and Control, Centers for Disease Control and 
Prevention, 4770 Buford Highway NE., Mailstop F-63, Atlanta, Georgia 
30341; Telephone: (770) 488-4696.

SUPPLEMENTARY INFORMATION: The Pediatric Mild Traumatic Brain Injury 
Workgroup, a workgroup of the National Center for Injury Prevention and 
Control (NCIPC) Board of Scientific Counselors (BSC), conducted a 
systematic review of the evidence and drafted the clinical 
recommendations. The NCIPC/BSC is a federal advisory committee 
comprised of leading experts in the field of injury and violence 
prevention that makes recommendations to the HHS Secretary, the CDC 
Director, and the NCIPC Director. The workgroup consists of subject 
matter experts in neurosurgery, pediatrics, emergency medicine, 
nursing, neurology, rehabilitation, neuroimaging, internal and family 
medicine, sports medicine, and school health. The systematic review and 
clinical recommendations drafted by the Pediatric Mild Traumatic Brain 
Injury Workgroup served as the primary foundation for the CDC 
Systematic Review and CDC Guideline.

Supporting and Related Material in the Docket

    The docket contains the following supporting and related materials 
to help inform public comment: the Systematic Review including data 
tables, and the Guideline including the key recommendations. The 
document, Diagnosis and Management of Mild Traumatic Brain Injury Among 
Children: A Systematic Review, summarizes findings from 25 years of 
research on the diagnosis, prognosis, and management of pediatric mild 
TBI. In this review, evidence is summarized for six clinical questions 
using a rigorous evidence rating methodology. The draft CDC Guideline 
on the Diagnosis and Management of Mild Traumatic Brain Injury Among 
Children focuses on diagnosis and management of acute mild traumatic 
brain injury (TBI) among children and adolescents (age 18 and under). 
The Guideline is designed for use by acute care and primary care 
providers who diagnose and manage patients with mild TBI resulting from 
both unintentional and intentional injuries. The recommendations 
contained in the Guideline were developed based on findings from the 
Systematic Review. This Guideline is not a federal rule or regulation; 
adherence to the Guideline will be voluntary.

    Dated: September 26, 2017.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2017-20903 Filed 9-28-17; 8:45 am]
BILLING CODE 4163-18-P
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