Proposed Data Collection Submitted for Public Comment and Recommendations, 78047-78048 [2023-25088]
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Federal Register / Vol. 88, No. 218 / Tuesday, November 14, 2023 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–24–0728; Docket No. CDC–2023–
0091]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
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 National Notifiable Diseases
Surveillance System. This data
collection provides the official source of
statistics in the United States for
nationally notifiable disease conditions.
DATES: CDC must receive written
comments on or before January 16,
2024.
SUMMARY:
You may submit comments,
identified by Docket No. CDC–2023–
0091 by either of the following methods:
• Federal eRulemaking Portal:
www.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 H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.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,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS
H21–8, Atlanta, Georgia 30329;
khammond on DSKJM1Z7X2PROD with NOTICES
ADDRESSES:
VerDate Sep<11>2014
16:48 Nov 13, 2023
Jkt 262001
78047
Telephone: 404–639–7570; Email: omb@
cdc.gov.
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
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;
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; and
5. Assess information collection costs.
those jurisdictions that require health
care providers, medical laboratories,
and other entities to submit healthrelated data on reportable conditions to
public health departments. These
reportable conditions, which include
infectious and non-infectious diseases,
vary by jurisdiction depending upon
each jurisdiction’s health priorities and
needs. Each year, the Council of State
and Territorial Epidemiologists (CSTE),
supported by CDC, determines which
reportable conditions should be
designated nationally notifiable or
under standardized surveillance.
Proposed Project
Approximately 90% of case
notifications are encrypted and
submitted to NNDSS electronically from
already existing databases by automated
electronic messages. When automated
transmission is not possible, case
notifications are faxed, emailed,
uploaded to a secure network or entered
into a secure website. All case
notifications that are faxed or emailed
are done so in the form of an aggregate
weekly or annual report, not individual
cases. These different mechanisms used
to send case notifications to CDC vary
by the jurisdiction and the disease or
condition. Jurisdictions remove most
personally identifiable information (PII)
before data are submitted to CDC, but
National Notifiable Diseases
Surveillance System (OMB Control No.
0920–0728, Exp. 3/31/2026)—
Revision—Office of Public Health Data,
Surveillance, and Technology
(OPHDST), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The Public Health Services Act (42
U.S.C. 241) authorizes CDC to
disseminate nationally notifiable
condition information. The National
Notifiable Diseases Surveillance System
(NNDSS) is based on data collected at
the state, territorial and local levels
because of legislation and regulations in
PO 00000
Frm 00100
Fmt 4703
Sfmt 4703
CDC requests a three-year approval for
a Revision for the NNDSS (OMB Control
No. 0920–0728, Expiration Date 03/31/
2026). This Revision includes requests
for approval to: (1) receive case
notification data for Cronobacter and
Ehrlichiosis, new notifiable conditions;
(2) receive case notification data for
Congenital cytomegalovirus infection
and Toxoplasmosis, new conditions
under standardized surveillance; and (3)
receive new disease-specific data
elements for Cronobacter, Hansen’s
Disease (Leprosy,) and Leptospirosis.
The NNDSS currently facilitates the
submission and aggregation of case
notification data voluntarily submitted
to CDC from 60 jurisdictions: public
health departments in every U.S. state;
New York City; Washington DC; five
U.S. territories (American Samoa, the
Commonwealth of Northern Mariana
Islands, Guam, Puerto Rico, and the U.S.
Virgin Islands); and three freely
associated states (Federated States of
Micronesia, the Republic of the
Marshall Islands, and the Republic of
Palau). This information is shared
across jurisdictional boundaries and
both surveillance and prevention and
control activities are coordinated at
regional and national levels.
E:\FR\FM\14NON1.SGM
14NON1
78048
Federal Register / Vol. 88, No. 218 / Tuesday, November 14, 2023 / Notices
some data elements (e.g., date of birth,
date of diagnosis, county of residence)
could potentially be combined with
other information to identify
individuals. Private information is not
disclosed unless otherwise compelled
by law, and all data are treated in a
secure manner consistent with the
technical, administrative, and
operational controls required by the
Federal Information Security
Management Act of 2002 (FISMA) and
the 2010 National Institute of Standards
and Technology (NIST) Recommended
Security Controls for Federal
Information Systems and Organizations.
Weekly tables of nationally notifiable
diseases are available through CDC
WONDER and www.data.cdc.gov.
Annual summaries of finalized
nationally notifiable disease data are
burden estimates for the one-time
burden for reporting jurisdictions are for
the addition of case notification data for
Cronobacter and Ehrlichiosis, new
notifiable conditions; the addition of
case notification data for Congenital
cytomegalovirus infection and
Toxoplasmosis, new conditions under
standardized surveillance; and the
addition of new disease-specific data
elements for Cronobacter, Hansen’s
Disease (Leprosy) and Leptospirosis.
Because there were fewer diseasespecific data elements added in this
Revision, the total burden hours
decreased from 18,594 to 18,414. CDC
requests OMB approval for an estimated
18,414 annual burden hours from the
257 respondents.
published on CDC WONDER and
www.data.cdc.gov and disease-specific
data are published by individual CDC
programs.
The burden estimates include the
number of hours that the public health
department uses to process and send
case notification data from their
jurisdiction to CDC. Specifically, the
burden estimates include separate
burden hours incurred for automated
and non-automated transmissions,
separate weekly burden hours incurred
for modernizing surveillance systems as
part of CDC’s Data Modernization
Initiative (DMI) implementation,
separate burden hours incurred for
annual data reconciliation and
submission, and separate one-time
burden hours incurred for the addition
of new diseases and data elements. The
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
States
States
States
States
States
.............................
.............................
.............................
.............................
.............................
Territories
Territories
Territories
Territories
Territories
.......................
.......................
.......................
.......................
.......................
Freely
Freely
Freely
Freely
Associated
Associated
Associated
Associated
States
States
States
States
Cities
Cities
Cities
Cities
Cities
..............................
..............................
..............................
..............................
..............................
Total ........................
50
10
50
50
50
52
52
52
1
1
20/60
2
4
75
3
867
1,040
10,400
3,750
150
5
5
5
5
5
52
56
52
1
1
20/60
20/60
4
5
3
87
93
1,040
25
15
3
3
3
3
52
56
1
1
20/60
20/60
5
3
52
56
15
9
2
2
2
2
2
52
52
52
1
1
20/60
2
4
75
3
35
208
416
150
6
..............................................................................
........................
........................
........................
18,414
[FR Doc. 2023–25088 Filed 11–13–23; 8:45 am]
BILLING CODE 4163–18–P
khammond on DSKJM1Z7X2PROD with NOTICES
Total burden
(in hours)
Weekly (Automated) ............................................
Weekly (Non-automated) .....................................
Weekly (DMI Implementation) .............................
Annual ..................................................................
One-time Addition of Diseases and Data Elements.
Weekly (Automated) ............................................
Weekly, Quarterly (Non-automated) ....................
Weekly (DMI Implementation) .............................
Annual ..................................................................
One-time Addition of Diseases and Data Elements.
Weekly (Automated) ............................................
Weekly, Quarterly (Non-automated) ....................
Annual ..................................................................
One-time Addition of Diseases and Data Elements.
Weekly (Automated) ............................................
Weekly (Non-automated) .....................................
Weekly (DMI Implementation) .............................
Annual ..................................................................
One-time Addition of Diseases and Data Elements.
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10552]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
VerDate Sep<11>2014
Average
burden per
response
(in hours)
Number of
responses per
respondent
Number of
respondents
Form name
16:48 Nov 13, 2023
Jkt 262001
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
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 (the
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
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
SUMMARY:
E:\FR\FM\14NON1.SGM
14NON1
]]>Agencies
[Federal Register Volume 88, Number 218 (Tuesday, November 14, 2023)]
[Notices]
[Pages 78047-78048]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-25088]
[[Page 78047]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-0728; Docket No. CDC-2023-0091]
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.
-----------------------------------------------------------------------
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 National Notifiable Diseases
Surveillance System. This data collection provides the official source
of statistics in the United States for nationally notifiable disease
conditions.
DATES: CDC must receive written comments on or before January 16, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0091 by either of the following methods:
Federal eRulemaking Portal: www.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 H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to www.regulations.gov.
Please note: Submit all comments through the Federal eRulemaking
portal (www.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, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 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
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;
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; and
5. Assess information collection costs.
Proposed Project
National Notifiable Diseases Surveillance System (OMB Control No.
0920-0728, Exp. 3/31/2026)--Revision--Office of Public Health Data,
Surveillance, and Technology (OPHDST), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Public Health Services Act (42 U.S.C. 241) authorizes CDC to
disseminate nationally notifiable condition information. The National
Notifiable Diseases Surveillance System (NNDSS) is based on data
collected at the state, territorial and local levels because of
legislation and regulations in those jurisdictions that require health
care providers, medical laboratories, and other entities to submit
health-related data on reportable conditions to public health
departments. These reportable conditions, which include infectious and
non-infectious diseases, vary by jurisdiction depending upon each
jurisdiction's health priorities and needs. Each year, the Council of
State and Territorial Epidemiologists (CSTE), supported by CDC,
determines which reportable conditions should be designated nationally
notifiable or under standardized surveillance.
CDC requests a three-year approval for a Revision for the NNDSS
(OMB Control No. 0920-0728, Expiration Date 03/31/2026). This Revision
includes requests for approval to: (1) receive case notification data
for Cronobacter and Ehrlichiosis, new notifiable conditions; (2)
receive case notification data for Congenital cytomegalovirus infection
and Toxoplasmosis, new conditions under standardized surveillance; and
(3) receive new disease-specific data elements for Cronobacter,
Hansen's Disease (Leprosy,) and Leptospirosis.
The NNDSS currently facilitates the submission and aggregation of
case notification data voluntarily submitted to CDC from 60
jurisdictions: public health departments in every U.S. state; New York
City; Washington DC; five U.S. territories (American Samoa, the
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the
U.S. Virgin Islands); and three freely associated states (Federated
States of Micronesia, the Republic of the Marshall Islands, and the
Republic of Palau). This information is shared across jurisdictional
boundaries and both surveillance and prevention and control activities
are coordinated at regional and national levels.
Approximately 90% of case notifications are encrypted and submitted
to NNDSS electronically from already existing databases by automated
electronic messages. When automated transmission is not possible, case
notifications are faxed, emailed, uploaded to a secure network or
entered into a secure website. All case notifications that are faxed or
emailed are done so in the form of an aggregate weekly or annual
report, not individual cases. These different mechanisms used to send
case notifications to CDC vary by the jurisdiction and the disease or
condition. Jurisdictions remove most personally identifiable
information (PII) before data are submitted to CDC, but
[[Page 78048]]
some data elements (e.g., date of birth, date of diagnosis, county of
residence) could potentially be combined with other information to
identify individuals. Private information is not disclosed unless
otherwise compelled by law, and all data are treated in a secure manner
consistent with the technical, administrative, and operational controls
required by the Federal Information Security Management Act of 2002
(FISMA) and the 2010 National Institute of Standards and Technology
(NIST) Recommended Security Controls for Federal Information Systems
and Organizations. Weekly tables of nationally notifiable diseases are
available through CDC WONDER and www.data.cdc.gov. Annual summaries of
finalized nationally notifiable disease data are published on CDC
WONDER and www.data.cdc.gov and disease-specific data are published by
individual CDC programs.
The burden estimates include the number of hours that the public
health department uses to process and send case notification data from
their jurisdiction to CDC. Specifically, the burden estimates include
separate burden hours incurred for automated and non-automated
transmissions, separate weekly burden hours incurred for modernizing
surveillance systems as part of CDC's Data Modernization Initiative
(DMI) implementation, separate burden hours incurred for annual data
reconciliation and submission, and separate one-time burden hours
incurred for the addition of new diseases and data elements. The burden
estimates for the one-time burden for reporting jurisdictions are for
the addition of case notification data for Cronobacter and
Ehrlichiosis, new notifiable conditions; the addition of case
notification data for Congenital cytomegalovirus infection and
Toxoplasmosis, new conditions under standardized surveillance; and the
addition of new disease-specific data elements for Cronobacter,
Hansen's Disease (Leprosy) and Leptospirosis.
Because there were fewer disease-specific data elements added in
this Revision, the total burden hours decreased from 18,594 to 18,414.
CDC requests OMB approval for an estimated 18,414 annual burden hours
from the 257 respondents.
Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
States......................................... Weekly (Automated)..................... 50 52 20/60 867
States......................................... Weekly (Non-automated)................. 10 52 2 1,040
States......................................... Weekly (DMI Implementation)............ 50 52 4 10,400
States......................................... Annual................................. 50 1 75 3,750
States......................................... One-time Addition of Diseases and Data 50 1 3 150
Elements.
Territories.................................... Weekly (Automated)..................... 5 52 20/60 87
Territories.................................... Weekly, Quarterly (Non-automated)...... 5 56 20/60 93
Territories.................................... Weekly (DMI Implementation)............ 5 52 4 1,040
Territories.................................... Annual................................. 5 1 5 25
Territories.................................... One-time Addition of Diseases and Data 5 1 3 15
Elements.
Freely Associated States....................... Weekly (Automated)..................... 3 52 20/60 52
Freely Associated States....................... Weekly, Quarterly (Non-automated)...... 3 56 20/60 56
Freely Associated States....................... Annual................................. 3 1 5 15
Freely Associated States....................... One-time Addition of Diseases and Data 3 1 3 9
Elements.
Cities......................................... Weekly (Automated)..................... 2 52 20/60 35
Cities......................................... Weekly (Non-automated)................. 2 52 2 208
Cities......................................... Weekly (DMI Implementation)............ 2 52 4 416
Cities......................................... Annual................................. 2 1 75 150
Cities......................................... One-time Addition of Diseases and Data 2 1 3 6
Elements.
--------------------------------------------------------------------------------------------------------
Total...................................... ....................................... .............. .............. .............. 18,414
--------------------------------------------------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2023-25088 Filed 11-13-23; 8:45 am]
BILLING CODE 4163-18-P
