Agency Forms Undergoing Paperwork Reduction Act Review, 79919-79920 [2024-22472]
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Federal Register / Vol. 89, No. 190 / Tuesday, October 1, 2024 / Notices
for the Wednesday, October 23, 2024
meeting, respectively. Written
comments may be sent to ogfac@
gsa.gov. We request all written
comments have the relevant meeting
date in the email subject line based on
the due dates above.
If you wish to offer oral public
comments during the public comments
period of the October 23, 2024 meeting,
you must register in advance. We
request that you register by Tuesday,
October 22, 2024, no later than 5 p.m.
EDT. All oral public comments will be
limited to three (3) minutes per
individual and may be made in-person
or virtually.
Special Accommodations
For information on services for
individuals with disabilities, or to
request accommodation of a disability,
please contact the Designated Federal
Officer at least 10 business days prior to
the meeting to give GSA as much time
as possible to process the request.
Closed captioning and live ASL
interpreter services are available.
Mehul Parekh,
Acting, Associate Administrator, Office of
Government-wide Policy, General Services
Administration.
[FR Doc. 2024–22406 Filed 9–30–24; 8:45 am]
BILLING CODE 6820–61–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Toxic Substances and
Disease Registry
[30Day–24–0051]
khammond on DSKJM1Z7X2PROD with NOTICES
Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Agency for
Toxic Substances and Disease Registry
(ATSDR) has submitted the information
collection request titled ‘‘Assessment of
Chemical Exposures (ACE)
Investigations’’ to the Office of
Management and Budget (OMB) for
review and approval. ATSDR previously
published a ‘‘Proposed Data Collection
Submitted for Public Comment and
Recommendations’’ notice on June 25,
2024, to obtain comments from the
public and affected agencies. ATSDR
received one comment related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
ATSDR will accept all comments for
this proposed information collection
project. The Office of Management and
VerDate Sep<11>2014
17:42 Sep 30, 2024
Jkt 265001
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.
Comments and recommendations for the
proposed information collection should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. 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
Assessment of Chemical Exposures
(ACE) Investigations (OMB Control No.
0923–0051, Exp. 10/31/2024)—
Revision—Agency for Toxic Substances
and Disease Registry (ATSDR).
Background and Brief Description
The Agency for Toxic Substances and
Disease Registry (ATSDR) is requesting
to revise the Assessment of Chemical
Exposures (ACE) Investigations
information collection project and seeks
a three-year OMB approval to assist
state and local health departments after
toxic substance spills or other acute
environmental incidents. The current
OMB approval for this information
collection expires 10/31/2024. ATSDR
has successfully completed three
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
79919
investigations to date. With the uses of
this valuable mechanism, ATSDR would
like to continue this impactful
information collection. See below for a
brief summary of information
collections approved under this tool:
• During 2015, in U.S. Virgin Islands
there was a methyl bromide exposure at
a condominium resort. Under this ACE
investigation, awareness among pest
control companies that methyl bromide
is currently prohibited in homes and
other residential settings. Additionally,
clinicians were made aware of the
toxicologic syndrome caused by
exposure to methyl bromide and the
importance of notifying first responders
immediately when they have
encountered contaminated patients.
• During 2016, ACE Investigations
teams conducted a rash investigation in
Flint, Michigan. Persons exposed to
Flint municipal water who had current
or worsening rashes surveyed were
referred too free dermatologist screening
if desired. Findings revealed that when
the city was using water from the Flint
River, where there were large swings in
chorine, pH, and hardness, which could
be one possible explanation for the
eczema-related rashes.
• During 2016, ACE Investigations
teams also conducted a follow-up
investigation for people who were
exposed to the Flint municipal water
and sought care from the free
dermatology exam. The follow-up
interviews resulted in improving the
exam and referral processes that were
still ongoing at the time.
ACE Investigations have focused on
performing rapid epidemiological
assessments to assist state, regional,
local, or tribal health departments (the
requesting agencies) to respond to or
prepare for acute environmental
incidents. The main objectives for
performing these rapid assessments are
to:
• Characterize exposure and acute
health effects of the affected community
to inform health officials and the
community;
• Identify needs (i.e., medical, mental
health, and basic) of those exposed
during the incidents to aid in planning
interventions in the community;
• Determine the sequence of events
responsible for the incident so that
actions can be taken to prevent future
incidents;
• Assess the impact of the incidents
on the emergency response and health
services used and share lessons learned
for use in hospital, local, and state
planning for environmental incidents;
and
• Identify cohorts that may be
followed and assessed for persistent
E:\FR\FM\01OCN1.SGM
01OCN1
79920
Federal Register / Vol. 89, No. 190 / Tuesday, October 1, 2024 / Notices
health effects resulting from
environmental releases.
Because each incident is different, it
is not possible to predict in advance
exactly what type of, and how many
respondents will be consented and
interviewed to effectively evaluate the
incident. Respondents typically include,
but are not limited to, emergency
responders such as police, fire,
hazardous material technicians,
emergency medical services, and
personnel at hospitals where patients
from the incident were treated.
Incidents may occur at businesses or in
the community setting; therefore,
respondents may also include business
owners, managers, workers, customers,
community residents, and those passing
through the affected area.
The multidisciplinary ACE
Investigations Team—consisting of staff
from ATSDR, the Centers for Disease
Control and Prevention (CDC), and the
requesting agencies will be collecting
data. ATSDR has developed a tailored
series of draft survey forms used in the
field to collect data that will meet the
goals of each investigation. ATSDR
collections will be administered based
on time permitted and urgency. For
example, it is preferable to administer
the General Survey to as many
respondents as possible. However, if
there are time constraints, the shorter
Epidemiologic Contact Assessment
Symptom Exposure (Epi CASE) Survey,
may be administered, instead. The
individual surveys collect information
about exposure, acute health effects,
health services use, medical history,
needs resulting from the incident,
communication during the release,
health impact on children, and
demographic data. Hospital personnel
are asked about the surge, response and
communication, decontamination, and
lessons learned. Depending on the
situation, data collected by face-to-face
interviews, telephone interviews,
written surveys, mailed surveys, or online self-administered surveys can be
collected. Medical charts may also be
considered for review. In rare situations,
an investigation might involve
collection of clinical specimens.
ATSDR is proposing to increase the
utility of this Generic ICR in response to
stakeholder requests. We would also
like to broaden who we may assist to
include other federal public health
agencies. ATSDR proposes revisions to
select information collection forms,
which will be deployed online or using
handheld devices whenever possible to
reduce burden, and to adjust the
number of responses and time per
response for several forms. Because of
this, addition of online selfadministration method, ATSDR expects
to be able to survey many more people
than during previous large disasters. A
brief Eligibility Screener will be
conducted before the General or Epi
CASE survey to make sure respondents
were in the area at the time of the
incident, before consenting them to be
surveyed. The number of people to be
screened will be increased to 2,500
responses per year. The shorter Epi
CASE survey has been modified to
incorporate the symptom checker
showcard into the survey so that it can
be easily self-administered online, and
questions on functional disabilities were
added as requested by stakeholders
adding two minutes (now 17 minutes
and 1,000 respondents). The General
survey will also have an online option.
For simplicity, adolescents will no
longer be eligible to take the General
Survey and the Child Survey will
become a module of the General survey
for adults to answer for their minor
children. At stakeholder direction we
have added modules to the General
Survey for responder, pets and livestock
health, and a community resilience
qualitative question bank. The General
Survey has also added questions
requested by stakeholders on functional
disabilities and maternal and child
health. The two existing long mental
health screeners are replaced by three
shorter ones and the Race/Ethnicity
questions are now consistent with OMB
guidance. Qualitative questions were
added to several sections throughout the
survey. These changes add to the time
of the survey and the online selfadministration option allows for an
increase in respondents (now 60
minutes, 1000 responses annually). The
Household Survey will be removed
because of little use. The Hospital
Survey for Emergency Department (ED)
nurses and other health professionals on
how they handled the response is
unchanged (40 responses per year; 17
hours). ATSDR is modifying the
Medical Chart Abstraction Form with
slight question changes suggested by a
medical toxicologist, and by adding
functional disability questions and
modifying the Race/Ethnicity questions
to the new OMB standards. This will
have no effect on overall burden (250
responses per year; 125 hours).
ATSDR anticipates approximately one
ACE investigation per year. ATSDR
requests approval 1,508 annual burden
hours. Participation in ACE
investigations is voluntary and there are
no anticipated costs to respondents
other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Residents, first responders, business owners,
employees, customers.
Eligibility Screener ..........................................
Epi CASE Survey ...........................................
General survey ...............................................
Hospital Survey ..............................................
Medical Chart Abstraction Form ....................
Hospital staff ...................................................
Staff from state, local, or tribal health agencies.
khammond on DSKJM1Z7X2PROD with NOTICES
Number of
respondents
Type of respondents
Number of
responses per
respondent
2,500
1,000
1,000
40
25
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. 2024–22472 Filed 9–30–24; 8:45 am]
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17:42 Sep 30, 2024
Jkt 265001
PO 00000
Frm 00036
Fmt 4703
Sfmt 9990
E:\FR\FM\01OCN1.SGM
01OCN1
1
1
1
1
10
Average
burden per
response
(in hours)
2/60
17/60
60/60
25/60
30/60
]]>Agencies
[Federal Register Volume 89, Number 190 (Tuesday, October 1, 2024)]
[Notices]
[Pages 79919-79920]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-22472]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Toxic Substances and Disease Registry
[30Day-24-0051]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Agency
for Toxic Substances and Disease Registry (ATSDR) has submitted the
information collection request titled ``Assessment of Chemical
Exposures (ACE) Investigations'' to the Office of Management and Budget
(OMB) for review and approval. ATSDR previously published a ``Proposed
Data Collection Submitted for Public Comment and Recommendations''
notice on June 25, 2024, to obtain comments from the public and
affected agencies. ATSDR received one comment related to the previous
notice. This notice serves to allow an additional 30 days for public
and affected agency comments.
ATSDR 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. Comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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
Assessment of Chemical Exposures (ACE) Investigations (OMB Control
No. 0923-0051, Exp. 10/31/2024)--Revision--Agency for Toxic Substances
and Disease Registry (ATSDR).
Background and Brief Description
The Agency for Toxic Substances and Disease Registry (ATSDR) is
requesting to revise the Assessment of Chemical Exposures (ACE)
Investigations information collection project and seeks a three-year
OMB approval to assist state and local health departments after toxic
substance spills or other acute environmental incidents. The current
OMB approval for this information collection expires 10/31/2024. ATSDR
has successfully completed three investigations to date. With the uses
of this valuable mechanism, ATSDR would like to continue this impactful
information collection. See below for a brief summary of information
collections approved under this tool:
During 2015, in U.S. Virgin Islands there was a methyl
bromide exposure at a condominium resort. Under this ACE investigation,
awareness among pest control companies that methyl bromide is currently
prohibited in homes and other residential settings. Additionally,
clinicians were made aware of the toxicologic syndrome caused by
exposure to methyl bromide and the importance of notifying first
responders immediately when they have encountered contaminated
patients.
During 2016, ACE Investigations teams conducted a rash
investigation in Flint, Michigan. Persons exposed to Flint municipal
water who had current or worsening rashes surveyed were referred too
free dermatologist screening if desired. Findings revealed that when
the city was using water from the Flint River, where there were large
swings in chorine, pH, and hardness, which could be one possible
explanation for the eczema-related rashes.
During 2016, ACE Investigations teams also conducted a
follow-up investigation for people who were exposed to the Flint
municipal water and sought care from the free dermatology exam. The
follow-up interviews resulted in improving the exam and referral
processes that were still ongoing at the time.
ACE Investigations have focused on performing rapid epidemiological
assessments to assist state, regional, local, or tribal health
departments (the requesting agencies) to respond to or prepare for
acute environmental incidents. The main objectives for performing these
rapid assessments are to:
Characterize exposure and acute health effects of the
affected community to inform health officials and the community;
Identify needs (i.e., medical, mental health, and basic)
of those exposed during the incidents to aid in planning interventions
in the community;
Determine the sequence of events responsible for the
incident so that actions can be taken to prevent future incidents;
Assess the impact of the incidents on the emergency
response and health services used and share lessons learned for use in
hospital, local, and state planning for environmental incidents; and
Identify cohorts that may be followed and assessed for
persistent
[[Page 79920]]
health effects resulting from environmental releases.
Because each incident is different, it is not possible to predict
in advance exactly what type of, and how many respondents will be
consented and interviewed to effectively evaluate the incident.
Respondents typically include, but are not limited to, emergency
responders such as police, fire, hazardous material technicians,
emergency medical services, and personnel at hospitals where patients
from the incident were treated. Incidents may occur at businesses or in
the community setting; therefore, respondents may also include business
owners, managers, workers, customers, community residents, and those
passing through the affected area.
The multidisciplinary ACE Investigations Team--consisting of staff
from ATSDR, the Centers for Disease Control and Prevention (CDC), and
the requesting agencies will be collecting data. ATSDR has developed a
tailored series of draft survey forms used in the field to collect data
that will meet the goals of each investigation. ATSDR collections will
be administered based on time permitted and urgency. For example, it is
preferable to administer the General Survey to as many respondents as
possible. However, if there are time constraints, the shorter
Epidemiologic Contact Assessment Symptom Exposure (Epi CASE) Survey,
may be administered, instead. The individual surveys collect
information about exposure, acute health effects, health services use,
medical history, needs resulting from the incident, communication
during the release, health impact on children, and demographic data.
Hospital personnel are asked about the surge, response and
communication, decontamination, and lessons learned. Depending on the
situation, data collected by face-to-face interviews, telephone
interviews, written surveys, mailed surveys, or on-line self-
administered surveys can be collected. Medical charts may also be
considered for review. In rare situations, an investigation might
involve collection of clinical specimens.
ATSDR is proposing to increase the utility of this Generic ICR in
response to stakeholder requests. We would also like to broaden who we
may assist to include other federal public health agencies. ATSDR
proposes revisions to select information collection forms, which will
be deployed online or using handheld devices whenever possible to
reduce burden, and to adjust the number of responses and time per
response for several forms. Because of this, addition of online self-
administration method, ATSDR expects to be able to survey many more
people than during previous large disasters. A brief Eligibility
Screener will be conducted before the General or Epi CASE survey to
make sure respondents were in the area at the time of the incident,
before consenting them to be surveyed. The number of people to be
screened will be increased to 2,500 responses per year. The shorter Epi
CASE survey has been modified to incorporate the symptom checker
showcard into the survey so that it can be easily self-administered
online, and questions on functional disabilities were added as
requested by stakeholders adding two minutes (now 17 minutes and 1,000
respondents). The General survey will also have an online option. For
simplicity, adolescents will no longer be eligible to take the General
Survey and the Child Survey will become a module of the General survey
for adults to answer for their minor children. At stakeholder direction
we have added modules to the General Survey for responder, pets and
livestock health, and a community resilience qualitative question bank.
The General Survey has also added questions requested by stakeholders
on functional disabilities and maternal and child health. The two
existing long mental health screeners are replaced by three shorter
ones and the Race/Ethnicity questions are now consistent with OMB
guidance. Qualitative questions were added to several sections
throughout the survey. These changes add to the time of the survey and
the online self-administration option allows for an increase in
respondents (now 60 minutes, 1000 responses annually). The Household
Survey will be removed because of little use. The Hospital Survey for
Emergency Department (ED) nurses and other health professionals on how
they handled the response is unchanged (40 responses per year; 17
hours). ATSDR is modifying the Medical Chart Abstraction Form with
slight question changes suggested by a medical toxicologist, and by
adding functional disability questions and modifying the Race/Ethnicity
questions to the new OMB standards. This will have no effect on overall
burden (250 responses per year; 125 hours).
ATSDR anticipates approximately one ACE investigation per year.
ATSDR requests approval 1,508 annual burden hours. Participation in ACE
investigations is voluntary and there are no anticipated costs to
respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
Residents, first responders, business Eligibility Screener.... 2,500 1 2/60
owners, employees, customers. Epi CASE Survey......... 1,000 1 17/60
General survey.......... 1,000 1 60/60
Hospital staff........................ Hospital Survey......... 40 1 25/60
Staff from state, local, or tribal Medical Chart 25 10 30/60
health agencies. Abstraction Form.
----------------------------------------------------------------------------------------------------------------
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. 2024-22472 Filed 9-30-24; 8:45 am]
BILLING CODE 4163-18-P
