Proposed Data Collection Submitted for Public Comment and Recommendations, 70555-70556 [2019-27559]

Agencies

• Centers for Disease Control and Prevention
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 84, Number 246 (Monday, December 23, 2019)]
[Notices]
[Pages 70555-70556]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-27559]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-20-1186; Docket No. CDC-2019-0098]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

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

ACTION: Notice with comment period.

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SUMMARY: 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 Information Collection for 
Tuberculosis Data from Referring Entities to CureTB, which enables CDC 
to coordinate continuity of care services for individuals with 
tuberculosis.

DATES: CDC must receive written comments on or before February 21, 
2020.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0098 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 change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, of the Information 
Collection Review Office, Centers for Disease Control and Prevention, 
1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-
7570; Email: [email protected].

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. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of

[[Page 70556]]

information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Information Collection for Tuberculosis Data from Referring 
Entities to CureTB (OMB Control No. 0920-1186, Exp. 06/30/2020)--
Revision--National Center for Emerging Zoonotic and Infectious Diseases 
(NCEZID), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CureTB at the Centers for Disease Control and Prevention (CDC), 
works with domestic and international programs to protect the U.S. 
public by preventing TB disease transmission domestically and 
internationally, as well as preventing the development of drug 
resistant TB. These goals are accomplished through CureTB referral and 
continuity of care services for mobile TB patients.
    Lack of treatment adherence and inappropriate selection of 
medications are prime reasons for the continued emergence and spread of 
resistant strains of tuberculosis. To combat this, CureTB ensures that 
patients understand how to remain adherent to treatment regimens, 
despite moving between nations. CureTB also provides information to the 
health care team that will be continuing care about each patient's TB 
strain and tailored medication regimen. CureTB gathers demographic and 
clinical information for each patient and connects that individual to 
appropriate clinical care. This information is also provided on a real-
time basis to medical providers and public health authorities in 
receiving nations so follow-up with the patient can be expedited.
    The respondents for the CureTB referral services are nurse 
practitioners, registered nurses, and physicians working for 
organizations within the United States and other countries who provide 
diagnostic and treatment services to individuals affected by TB. The 
organizations are primarily state and local health departments, but 
include immigration detention centers, correctional facilities, and 
foreign national TB programs. All 50 U.S. states and territories may 
refer TB patients to the CureTB program. To date, CureTB has also 
received referrals from Mexico and Guatemala.
    Registered nurses or nurse practitioners will submit CureTB 
referral forms as they request referral services. The number of 
referrals varies widely between respondents. To ensure adequate 
referral to treatment occurs, CDC CureTB may need to follow-up with an 
individual to complete missing data fields concerning clinical or 
contact information. This is done to ensure continuity of care. 
Therefore, individuals with TB are also respondents in this information 
collection. CDC's CureTB program will also continue working with our 
public health partners in notifications and referrals for contacts of 
TB cases. This is a lesser used function of CureTB, but burden is 
included below. These respondents are registered nurses or nurse 
practitioners working in health departments.
    Finally, CDC staff in the CureTB program also contact the new 
treating physicians to determine patient outcomes using CureTB 
Clinician Public Health Department Follow-up Script. The physicians are 
generally contacted every two months over the course of standard six 
month TB treatment, for a total of three follow-up contacts per 
patient. There are no costs to respondents other than the time required 
to complete the referral documents and respond to CDC requests for TB 
patient outcomes. The total burden requested is 1,117 hours.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total  burden
     Type of respondents           Form name        respondents   responses  per   response  (in       hours
                                                                     respondent       hours)
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Registered Nurses/Nurse        CureTB                        100               3           30/60             150
 Practitioners.                 Transnational
                                Notification.
TB patients..................  CureTB                        200               1            5/60              17
                                Transnational
                                Notification.
TB patients (ICE referrals)..  CureTB                        600               1           45/60             450
                                Transnational
                                Notification.
TB treating physicians.......  Clinician Public              900               3           10/60             450
                                Health
                                Department
                                Follow-up Script.
Registered Nurses/Nurse        CureTB Contact/                20               5           30/60              50
 Practitioners.                 Source
                                Investigation
                                (CI/SI)
                                Notification.
                                                 ---------------------------------------------------------------
    Total....................  .................  ..............  ..............  ..............           1,117
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-27559 Filed 12-20-19; 8:45 am]
 BILLING CODE 4163-18-P