Agency Forms Undergoing Paperwork Reduction Act Review, 11098-11099 [2019-05553]

Download as PDF 11098 Federal Register / Vol. 84, No. 57 / Monday, March 25, 2019 / Notices ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Type of respondents Form name Middle and High School Age Adolescents ..... Middle and High School Age Adolescents ..... Middle and High School Age Adolescents ..... Parents/caregivers of adolescents .................. Parents/caregivers of adolescents .................. Youth Questionnaire ...................................... Pre/Post youth questionnaire ......................... Youth interview/focus group guide ................. Parent/Caregiver questionnaire ..................... Parent/Caregiver interview/focus group guide Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2019–05556 Filed 3–22–19; 8:45 am] BILLING CODE 4163–18–P [CDC–2018–0103; Docket Number NIOSH– 322] Final National Occupational Research Agenda for Immune, Infectious, and Dermal Disease Prevention (IID) National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of availability. AGENCY: NIOSH announces the availability of the final National Occupational Research Agenda for Immune, Infectious, and Dermal Disease Prevention. DATES: The final document was published March 19, 2019 on the CDC website. ADDRESSES: The document may be obtained at the following link: https:// www.cdc.gov/nora/councils/iid/ agenda.html. FOR FURTHER INFORMATION CONTACT: Emily Novicki, M.A., M.P.H, (NORACoordinator@cdc.gov), National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Mailstop E–20, 1600 Clifton Road NE, Atlanta, GA 30329, phone (404) 498–2581 (not a toll free number). SUPPLEMENTARY INFORMATION: On November 8, 2018, NIOSH published a request for public review in the Federal Register [83 FR 55887] of the draft version of the National Occupational Research Agenda for Immune, Infectious, and Dermal Disease Jkt 247001 DEPARTMENT OF HEALTH AND HUMAN SERVICES 1 2 2 2 2 50/60 50/60 90/60 25/60 90/60 Job Titles and/or Job Duties: All laborers who worked in any area at the Y–12 Plant in Oak Ridge, Tennessee, fabricating or processing uranium during the period from January 1, 1977, through December 31, 1994. Period of Employment: January 1, 1977 through December 31, 1994. [FR Doc. 2019–05586 Filed 3–22–19; 8:45 am] BILLING CODE 4163–19–P Centers for Disease Control Decision To Evaluate a Petition To Designate a Class of Employees From the Y–12 Plant in Oak Ridge, Tennessee, To Be Included in the Special Exposure Cohort National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Department of Health and Human Services. ACTION: Notice. AGENCY: SUMMARY: 20,000 10,000 3,000 7,500 3,000 Average burden per response (in hours) John J. Howard, Director, National Institute for Occupational Safety and Health. BILLING CODE 4163–19–P Centers for Disease Control and Prevention 16:47 Mar 22, 2019 Frank J. Hearl, Chief of Staff, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. [FR Doc. 2019–05561 Filed 3–22–19; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES VerDate Sep<11>2014 Prevention. All comments received were reviewed and addressed where appropriate. Number of responses per respondent NIOSH gives notice of a decision to evaluate a petition to designate a class of employees from the Y–12 Plant in Oak Ridge, Tennessee, to be included in the Special Exposure Cohort under the Energy Employees Occupational Illness Compensation Program Act of 2000. FOR FURTHER INFORMATION CONTACT: Stuart L. Hinnefeld, Director, Division of Compensation Analysis and Support, National Institute for Occupational Safety and Health, 1090 Tusculum Avenue, MS C–46, Cincinnati, OH 45226–1938, Telephone 877–222–7570. Information requests can also be submitted by email to DCAS@CDC.GOV. SUPPLEMENTARY INFORMATION: Authority: 42 CFR 83.9–83.12. Pursuant to 42 CFR 83.12, the initial proposed definition for the class being evaluated, subject to revision as warranted by the evaluation, is as follows: Facility: Y–12 Plant. Location: Oak Ridge, Tennessee. SUMMARY: PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–19–18APX] Agency Forms Undergoing Paperwork Reduction Act Review In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention (CDC) has submitted the information collection request titled Dental Survey: Improving Outpatient Antibiotic Use through Implementation and Evaluation of Core Elements of Outpatient Antibiotic Stewardship to the Office of Management and Budget (OMB) for review and approval. CDC previously published a ‘‘Proposed Data Collection Submitted for Public Comment and Recommendations’’ notice on August 10, 2018 to obtain comments from the public and affected agencies. CDC did not receive comments related to the previous notice. This notice serves to allow an additional 30 days for public and affected agency comments. CDC will accept all comments for this proposed information collection project. The Office of Management and Budget is particularly interested in comments that: (a) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including E:\FR\FM\25MRN1.SGM 25MRN1 11099 Federal Register / Vol. 84, No. 57 / Monday, March 25, 2019 / Notices Background and Brief Description 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. Direct written comments and/or suggestions regarding the items contained in this notice to the Attention: CDC Desk Officer, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 395–5806. Provide written comments within 30 days of notice publication. Proposed Project Dental Survey: Improving Outpatient Antibiotic Use through Implementation and Evaluation of Core Elements of Outpatient Antibiotic Stewardship— New—Information Collection—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC). Antibiotic resistance is a growing problem that has been shown to be a result of wide-spread antibiotic use and misuse. While efforts to improve antibiotic use to date have been primarily implemented in the inpatient setting, the majority of antibiotics are prescribed in the outpatient setting. Up to 50% of all antibiotics prescribed for acute respiratory tract infections (ARI) are proposed to be inappropriate. Interventions that have been demonstrated to decrease inappropriate use include audit-and-feedback, academic detailing, clinical decision support systems (CDSS), providerfocused public commitments to reduce inappropriate antibiotic use, and delayed antibiotic prescriptions. However, current data is limited due to short study time-frames and lack of sustainability. In a pilot project, phone interviews were conducted with six dental providers and three pediatricians; specifically those who could speak to the knowledge, attitudes and behaviors of their peers. PRA was deemed not applicable by the NCEZID PRA representative for this pilot. We identified six dental providers that were recruited for a phone interview with our team’s healthcare psychologist. Semistructured interviews were used to assess: (1) Knowledge about antibiotic prescribing (what constitutes appropriate and inappropriate prescribing); (2) the providers current antibiotic prescribing practices; (3) beliefs about the consequences of inappropriate and appropriate prescribing (e.g., consequences for the provider, for individual patients, and for the healthcare system); (4) attitudes about antibiotic prescribing (expected negative and positive reactions to appropriate prescribing); (5) subjective norms (beliefs related to what is ‘‘normal’’ antibiotic prescribing for the provider and for peers); (6) control beliefs related to appropriate prescribing (factors that make appropriate prescribing easy or difficult, e.g., barriers); and (7) future planned behaviors along with perceived solutions to promote appropriate antibiotic prescribing. During the analysis of the six dental interviews it was determined by the team that these interviews contained very unique information in terms of knowledge, attitudes and behaviors compared to other non-dental providers. Therefore, it was also determined that information saturation was not reached during this first data collection phase. We want to continue our data collection efforts within this specific population. This information will be crucial in future design of scalable and sustainable outpatient antibiotic stewardship interventions that incorporate all Core Elements of Outpatient Antibiotic Stewardship and to be able to implement it across a network of dental outpatient facilities. There will be no anticipated costs to respondents other than their time. The survey will be voluntary and will be distributed within University of Utah dental clinics. Potential participants will be contacted via email informing them about the purpose of the survey. Participants would have the option of performing the survey online through an approved University of Utah survey platform (i.e. REDCap or Qualtrics) or on paper format if they prefer. To help increase response rate, paper formats may be distributed during dental staff meetings or any other gatherings within this population. Total burden hours being requested is 77. ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Type of respondents Form name Dental Providers ............................................. Dental Providers ............................................. Dental Providers ............................................. Recruitment during meetings ......................... SHEPheRD Outpatient Dental Survey ........... Dental Survey—CDC Outpatient SEPheRD—Practices and Experiences with Antibiotic Prescribing. Number of responses per respondent 155 25 75 Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2019–05553 Filed 3–22–19; 8:45 am] BILLING CODE 4163–18–P VerDate Sep<11>2014 18:13 Mar 22, 2019 Jkt 247001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 E:\FR\FM\25MRN1.SGM 25MRN1 1 1 1 Average burden per response (in hrs.) 10/60 30/60 30/60

Agencies

[Federal Register Volume 84, Number 57 (Monday, March 25, 2019)]
[Notices]
[Pages 11098-11099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05553]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-18APX]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled Dental Survey: Improving Outpatient 
Antibiotic Use through Implementation and Evaluation of Core Elements 
of Outpatient Antibiotic Stewardship to the Office of Management and 
Budget (OMB) for review and approval. CDC previously published a 
``Proposed Data Collection Submitted for Public Comment and 
Recommendations'' notice on August 10, 2018 to obtain comments from the 
public and affected agencies. CDC did not receive comments related to 
the previous notice. This notice serves to allow an additional 30 days 
for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including

[[Page 11099]]

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. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    Dental Survey: Improving Outpatient Antibiotic Use through 
Implementation and Evaluation of Core Elements of Outpatient Antibiotic 
Stewardship--New--Information Collection--National Center for Emerging 
and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    Antibiotic resistance is a growing problem that has been shown to 
be a result of wide-spread antibiotic use and misuse. While efforts to 
improve antibiotic use to date have been primarily implemented in the 
inpatient setting, the majority of antibiotics are prescribed in the 
outpatient setting. Up to 50% of all antibiotics prescribed for acute 
respiratory tract infections (ARI) are proposed to be inappropriate. 
Interventions that have been demonstrated to decrease inappropriate use 
include audit-and-feedback, academic detailing, clinical decision 
support systems (CDSS), provider-focused public commitments to reduce 
inappropriate antibiotic use, and delayed antibiotic prescriptions. 
However, current data is limited due to short study time-frames and 
lack of sustainability.
    In a pilot project, phone interviews were conducted with six dental 
providers and three pediatricians; specifically those who could speak 
to the knowledge, attitudes and behaviors of their peers. PRA was 
deemed not applicable by the NCEZID PRA representative for this pilot. 
We identified six dental providers that were recruited for a phone 
interview with our team's healthcare psychologist. Semi-structured 
interviews were used to assess: (1) Knowledge about antibiotic 
prescribing (what constitutes appropriate and inappropriate 
prescribing); (2) the providers current antibiotic prescribing 
practices; (3) beliefs about the consequences of inappropriate and 
appropriate prescribing (e.g., consequences for the provider, for 
individual patients, and for the healthcare system); (4) attitudes 
about antibiotic prescribing (expected negative and positive reactions 
to appropriate prescribing); (5) subjective norms (beliefs related to 
what is ``normal'' antibiotic prescribing for the provider and for 
peers); (6) control beliefs related to appropriate prescribing (factors 
that make appropriate prescribing easy or difficult, e.g., barriers); 
and (7) future planned behaviors along with perceived solutions to 
promote appropriate antibiotic prescribing.
    During the analysis of the six dental interviews it was determined 
by the team that these interviews contained very unique information in 
terms of knowledge, attitudes and behaviors compared to other non-
dental providers. Therefore, it was also determined that information 
saturation was not reached during this first data collection phase. We 
want to continue our data collection efforts within this specific 
population. This information will be crucial in future design of 
scalable and sustainable outpatient antibiotic stewardship 
interventions that incorporate all Core Elements of Outpatient 
Antibiotic Stewardship and to be able to implement it across a network 
of dental outpatient facilities.
    There will be no anticipated costs to respondents other than their 
time. The survey will be voluntary and will be distributed within 
University of Utah dental clinics. Potential participants will be 
contacted via email informing them about the purpose of the survey. 
Participants would have the option of performing the survey online 
through an approved University of Utah survey platform (i.e. REDCap or 
Qualtrics) or on paper format if they prefer. To help increase response 
rate, paper formats may be distributed during dental staff meetings or 
any other gatherings within this population. Total burden hours being 
requested is 77.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Dental Providers......................  Recruitment during                   155               1           10/60
                                         meetings.
Dental Providers......................  SHEPheRD Outpatient                   25               1           30/60
                                         Dental Survey.
Dental Providers......................  Dental Survey--CDC                    75               1           30/60
                                         Outpatient SEPheRD--
                                         Practices and
                                         Experiences with
                                         Antibiotic Prescribing.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-05553 Filed 3-22-19; 8:45 am]
BILLING CODE 4163-18-P
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