Agency Forms Undergoing Paperwork Reduction Act Review, 57434-57435 [2019-23365]
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57434
Federal Register / Vol. 84, No. 207 / Friday, October 25, 2019 / Notices
There were 164,177 cases of
gonorrhea diagnosed and reported
across the 10 participating enhanced
SSuN jurisdictions funded in 2018.
Approximately 10.6%, or 17,512 cases
were randomly sampled for enhanced
investigation and full enhanced
investigations were completed for 7,132
(40.7%). The remaining cases were lost
to follow-up due to insufficient contact
information, or the patient failed to
respond to multiple contact attempts.
Similar performance is anticipated in
the revised project, which includes
eleven jurisdictions which reported
173,605 gonorrhea cases in 2017.
Approximately 17,360 cases will be
additional data management burden of
1,320 hours (11 sites × 6 annual matches
× 20 hours).
The estimated annual burden hours
for data management staff in funded
jurisdiction is 4,488 hours (3,168 +
1,320) for the revised information
collection. Respondents from local/state
health departments receive federal
funds to participate in this project.
Participation of patients and of facility
staff is voluntary. The total estimated
annual burden hours for which CDC
seeks approval is 6,303. There are no
additional costs to respondents other
than their time.
sampled and 7,380 completed patient
investigations are anticipated.
Data managers at each of the 11 local/
state health departments are responsible
for transmitting validated datasets to
CDC every month, alternating between
strategies A and B each month. This
reflects 3,168 burden hours for data
management (11 respondents × 12 data
transmissions × 24 hours). Data
managers will also be responsible for
conducting HIV registry matching
bimonthly; registry matches are
estimated to take 20 hours for matching,
cleaning and recoding records into
approved data formats. Across all 11
jurisdictions, this represents an
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Form name
Data managers at sentinel STD clinics.
General Public—Adults (persons diagnosed with gonorrhea).
Data Managers: 11 local/state health
department.
Electronic Clinical Record Abstraction.
Patient interviews for a random
sample of gonorrhea cases.
Data cleaning/validation, HIV registry matching and data transmission for Strategy A and Strategy B.
Clinic Survey ....................................
General Public—Adults (persons visiting STD clinics and participating
in the clinic survey).
Total ...........................................
...........................................................
Jeffery Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–23369 Filed 10–24–19; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–20–19ARD]
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 ‘‘Evaluation of
CDC’s STEADI Older Adult Fall
Prevention Initiative in a Primary Care
Setting’’ 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 May 24,
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18:04 Oct 24, 2019
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Average
burden per
response
(in hours)
Total burden
(in hours)
11
6
4
264
7,380
1
10/60
1,230
11
12
44
4,488
3850
1
5/60
321
11,274
........................
........................
6,303
2019, to obtain comments from the
public and affected agencies. CDC
received one comment 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
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
PO 00000
Number of
responses per
respondent
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
An Evaluation of CDC’s STEADI
Older Adult Fall Prevention Initiative in
a Primary Care Setting—New—National
Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Falls are the leading cause of both
fatal and non-fatal injuries among older
adults, defined as age 65 and older.
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25OCN1
57435
Federal Register / Vol. 84, No. 207 / Friday, October 25, 2019 / Notices
From 2007 to 2016, fall death ageadjusted rates increased by 31% with
almost 30,000 older adults dying as the
result of a fall in 2016. The economic
consequences of falls are significant and
growing as the population ages, with
medical costs of older adult falls
estimated at $50 billion. CDC created
the Stopping Elderly Accidents, Deaths,
and Injuries (STEADI) initiative to guide
health care providers’ fall prevention
activities in the primary care setting.
This new data collection effort is an
essential component to determine the
impact of CDC’s Stopping Elderly
Accidents, Deaths, and Injuries
(STEADI) initiative on falls, emergency
department visits, and hospitalizations
due to falls. It will help CDC determine
the impact of less resource intense
versions of STEADI and evaluate the
process of implementing STEADI fall
prevention initiative in a primary care
setting to provide context for the impact
evaluations. The study population will
be limited to adults 65 and older who
have an outpatient visit during the
study period and screen as high risk for
falls at the selected primary care clinics
implementing the STEADI fall
prevention initiative. The study
population for the process evaluation
will include the clinical implementation
staff at the selected clinics where the
intervention will take place (physicians,
physician assistants/nurse practitioners,
study research nurses, and practice or
operations manager).
Two data collection methods will be
used; the CDC’s Stay Independent Fall
Risk Screener will be administered to
older adult patients at selected primary
care clinics to determine which older
adults are at high risk for a fall. Those
who screen at high risk will be assigned,
based on clinic attended and week of
attendance, to one of three study arms.
Patient surveys will be used to
determine whether these patients
experience a fall during the study
period, are treated for a fall, and/or use
any fall prevention strategies throughout
the study period. Four surveys will be
administered to each patient during a
12-month period: One baseline survey
and three follow-up surveys. Older
adults will also be asked to keep track
of their falls in a monthly falls diary, so
they can accurately recall and report the
information during the 12-month period
for the patient surveys. The process
evaluation interviews will be used to
understand the attitudes of clinical staff
towards the implementation process,
barriers and facilitators to
implementation, and the
implementation fidelity to core
components of the STEADI initiative.
Descriptive statistics and cross
tabulations will be used to describe
quantitative data from the patient
survey and process evaluation data. Risk
ratios of the effect of the intervention on
post-intervention falls will be calculated
comparing intervention and control
groups while controlling for
demographic, health, attitude, and
behavior variables.
The data collected from this study
will be used to demonstrate the impact
of STEADI and different components of
STEADI on falls and fall injuries in a
primary care setting, and improve the
implementation of STEADI in a primary
care setting. There are no costs to the
respondents other than their time. The
total estimated annualized burden is
1,578 hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
(hours)
Type of respondent
Form name
Patient .............................................................
Stay Independent Fall Risk Screener (Att. D)
Consent Form (Att. C) ....................................
Patient Baseline Survey (Att. B1) ..................
Patient Follow-up Survey (Att. B2) ................
Provider Interview Guide/Consent (Att. E1) ...
4,035
1,235
1,000
896
3
1
1
1
3
1
6/60
12/60
15/60
15/60
50/60
Operations Manager Interview Guide/Consent (Att. E2).
2
1
50/60
Physician/Physician Assistants/Nurse Practitioners.
Clinic Operations Manager .............................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–23365 Filed 10–24–19; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–20–1158; Docket No. CDC–2019–
0095]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
AGENCY:
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18:04 Oct 24, 2019
Jkt 250001
ACTION:
Notice with comment period.
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 the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled CDC Ideation Catalyst (I-Catalyst)
Program and Customer Engagement
Information Collection. CDC will collect
qualitative information from potential
customers and other stakeholders about
their needs and preferred approaches to
solving public health problems.
Findings will be used to improve
SUMMARY:
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
customer satisfaction with, and usability
of, CDC’s products, programs, and
services.
CDC must receive written
comments on or before December 24,
2019.
DATES:
You may submit comments,
identified by Docket No. CDC–2019–
0095 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS–D74, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
ADDRESSES:
E:\FR\FM\25OCN1.SGM
25OCN1
Agencies
[Federal Register Volume 84, Number 207 (Friday, October 25, 2019)]
[Notices]
[Pages 57434-57435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23365]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-19ARD]
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 ``Evaluation of CDC's STEADI Older Adult Fall
Prevention Initiative in a Primary Care Setting'' 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 May 24, 2019, to obtain comments from the
public and affected agencies. CDC received one comment 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 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 [email protected]. 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
An Evaluation of CDC's STEADI Older Adult Fall Prevention
Initiative in a Primary Care Setting--New--National Center for Injury
Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Falls are the leading cause of both fatal and non-fatal injuries
among older adults, defined as age 65 and older.
[[Page 57435]]
From 2007 to 2016, fall death age-adjusted rates increased by 31% with
almost 30,000 older adults dying as the result of a fall in 2016. The
economic consequences of falls are significant and growing as the
population ages, with medical costs of older adult falls estimated at
$50 billion. CDC created the Stopping Elderly Accidents, Deaths, and
Injuries (STEADI) initiative to guide health care providers' fall
prevention activities in the primary care setting.
This new data collection effort is an essential component to
determine the impact of CDC's Stopping Elderly Accidents, Deaths, and
Injuries (STEADI) initiative on falls, emergency department visits, and
hospitalizations due to falls. It will help CDC determine the impact of
less resource intense versions of STEADI and evaluate the process of
implementing STEADI fall prevention initiative in a primary care
setting to provide context for the impact evaluations. The study
population will be limited to adults 65 and older who have an
outpatient visit during the study period and screen as high risk for
falls at the selected primary care clinics implementing the STEADI fall
prevention initiative. The study population for the process evaluation
will include the clinical implementation staff at the selected clinics
where the intervention will take place (physicians, physician
assistants/nurse practitioners, study research nurses, and practice or
operations manager).
Two data collection methods will be used; the CDC's Stay
Independent Fall Risk Screener will be administered to older adult
patients at selected primary care clinics to determine which older
adults are at high risk for a fall. Those who screen at high risk will
be assigned, based on clinic attended and week of attendance, to one of
three study arms. Patient surveys will be used to determine whether
these patients experience a fall during the study period, are treated
for a fall, and/or use any fall prevention strategies throughout the
study period. Four surveys will be administered to each patient during
a 12-month period: One baseline survey and three follow-up surveys.
Older adults will also be asked to keep track of their falls in a
monthly falls diary, so they can accurately recall and report the
information during the 12-month period for the patient surveys. The
process evaluation interviews will be used to understand the attitudes
of clinical staff towards the implementation process, barriers and
facilitators to implementation, and the implementation fidelity to core
components of the STEADI initiative. Descriptive statistics and cross
tabulations will be used to describe quantitative data from the patient
survey and process evaluation data. Risk ratios of the effect of the
intervention on post-intervention falls will be calculated comparing
intervention and control groups while controlling for demographic,
health, attitude, and behavior variables.
The data collected from this study will be used to demonstrate the
impact of STEADI and different components of STEADI on falls and fall
injuries in a primary care setting, and improve the implementation of
STEADI in a primary care setting. There are no costs to the respondents
other than their time. The total estimated annualized burden is 1,578
hours.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (hours)
----------------------------------------------------------------------------------------------------------------
Patient............................... Stay Independent Fall 4,035 1 6/60
Risk Screener (Att. D).
Consent Form (Att. C)... 1,235 1 12/60
Patient Baseline Survey 1,000 1 15/60
(Att. B1).
Patient Follow-up Survey 896 3 15/60
(Att. B2).
Physician/Physician Assistants/Nurse Provider Interview Guide/ 3 1 50/60
Practitioners. Consent (Att. E1).
Clinic Operations Manager............. Operations Manager 2 1 50/60
Interview Guide/Consent
(Att. E2).
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-23365 Filed 10-24-19; 8:45 am]
BILLING CODE 4163-18-P