Agency Forms Undergoing Paperwork Reduction Act Review, 79927-79929 [2024-22473]

Download as PDF 79927 Federal Register / Vol. 89, No. 190 / Tuesday, October 1, 2024 / Notices Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). Background and Brief Description Surgical smoke produced during tissue cutting and cauterizing tissues and blood vessels generates hazardous gaseous compounds and aerosols that are associated with cancer and respiratory irritation; however, no research has characterized surgical smoke generated from animal tissue in clinical veterinary settings. Surgical smoke exposure is an emerging concern in human operating rooms, and several states have either passed or are considering bills requiring surgical smoke evacuation systems in human operating rooms to mitigate this occupational hazard. Surgical suites in veterinary clinics are often multiple bay suites or have less effective ventilation systems than human operating rooms, potentially leading to higher exposure levels, yet no research has examined barriers and aids to the use of surgical smoke evacuation systems among veterinary medicine/animal care (VM/ AC) personnel. The proposed project will characterize occupational exposure to surgical smoke and related respiratory health effects in clinical veterinary settings. Data will be used to examine: (1) work-related factors that contribute to exposure to surgical smoke in clinical veterinary settings; (2) relationships between surgical smoke exposure in clinical veterinary settings and respiratory health; and (3) barriers and aids to implementing surgical smoke extraction systems that reduce occupational exposures to surgical smoke. Findings from this study will help to provide guidance on engineering controls to improve air quality in VM/ AC personnel’s work environment by reducing exposure to surgical smoke. Three veterinary teaching hospitals and a national network of community veterinary clinics have been recruited to participate in this research. VM/AC personnel at collaborating field study sites will have the opportunity to voluntarily express interest in participating by completing a brief expression of interest form. Study participants will complete: (1) a baseline questionnaire that collects data on demographics, work history, job tasks, exposures to respiratory hazards (including surgical smoke), use of personal protective equipment, workplace safety climate, and respiratory health and symptoms; and (2) a post-shift questionnaire assessing acute respiratory symptoms and job tasks during the work shift. This is a new data collection, with approval requested for three years. CDC requests OMB approval for an estimated 107 annual burden hours. There are no costs to respondents other than their time to participate. ESTIMATED ANNUALIZED BURDEN HOURS Type of respondents VM/AC VM/AC VM/AC VM/AC personnel personnel personnel personnel ............................................ ............................................ ............................................ ............................................ 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. 2024–22471 Filed 9–30–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–24–0950] khammond on DSKJM1Z7X2PROD with NOTICES 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 ‘‘National Health and Nutrition Examination Survey (NHANES)’’ 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 13, VerDate Sep<11>2014 17:42 Sep 30, 2024 Jkt 265001 Number of respondents Form name Expression of Interest Form ........................... Informed Consent ........................................... Baseline Questionnaire .................................. Post-shift Questionnaire ................................. 2024 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 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 Frm 00043 Fmt 4703 Sfmt 4703 50 50 50 50 Number of responses per respondent 1 1 1 10 Average burden per response (in hours) 3/60 15/60 28/60 8/60 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 National Health and Nutrition Examination Survey (NHANES) (OMB Control No. 0920–0950, Exp. 04/30/ E:\FR\FM\01OCN1.SGM 01OCN1 79928 Federal Register / Vol. 89, No. 190 / Tuesday, October 1, 2024 / Notices 2025)—Revision — National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k) authorizes that the Secretary of Health and Human Services (DHHS), acting through NCHS, collect statistics on subjects in the United States, such as the extent and nature of illness and disability of the population; environment, social, and other health hazards; determinants of health; health resources; and utilization of healthcare. The National Health and Nutrition Examination Survey (NHANES) has been conducted periodically between 1970 and 1994, and continuously since 1999 by the National Center for Health Statistics, CDC. NHANES produces descriptive statistics, which measure the health and nutritional status of the general population. With personal interviews, physical examinations, and laboratory assessments, NHANES studies the relationship between diet, nutrition, and health in a representative sample of the United States. NHANES monitors the prevalence of chronic conditions and risk factors and is used to produce national reference data on height, weight, and nutrient levels in the blood. Results from more recent NHANES can be compared to findings reported from previous surveys to monitor changes in the health of the U.S. population over time. In 2025–2026, the program is not considering any substantive changes to NHANES content or procedures. As in previous years, the base sample will remain at approximately 5,000 individuals interviewed and examined, annually. Children 0–17 years of age, persons 65 years of age or older, and non-Hispanic Black persons will be oversampled in the 2025–2026 survey. NCHS collects personally identifiable information (PII). Participant level data items will include basic demographic information, name, address, social security number, Medicare number and participant health information to allow for linkages to other data sources such as the National Death Index and data from the Centers for Medicare and Medicaid Services. A variety of agencies sponsor data collection components on NHANES. In the 2025–2026 clearance proposal, the Program modified, added, or removed various components that were included in the August 2021–August 2023 NHANES to update and modernize processes for data collection. NHANES staff conducted a thorough review of the survey participant and household questionnaire content and made changes to focus on retaining questions that are to be used in combination with specific exam or lab data collected in the survey, as independent prevalence estimates, or as covariates in statistical analyses (e.g., sociodemographic characteristics). Further review of all data collection instruments was done to update wording, update age restrictions for the respondent universe, align wording across instruments, eliminate duplicate questions, improve interview flow, and reduce respondent burden. With the construction of a new fleet of five mobile examination centers (MECs) with updated designs, the 2025– 2026 exam components will include post consent-questions, anthropometry, oscillometer measurements, venipuncture, urine collection, MEC CAPI and ACASI questions, body composition, respiratory health, audiometry, visual acuity and ophthalmology, oral health, HPV oral rinse and DNA genital swab collection, and water fluoride testing. Liver elastography, urine testing for several sexually transmitted infections, serology testing for HPV and CMV antibodies, and MEC follow-up questionnaires were dropped. First Dietary Recall interviews, the Flexible Consumer Behavior Survey, and the Second Dietary Recall interviews will be conducted via telephone either before or after the MEC visit, which is a new approach for the 2025–2026 survey. If the participant does not schedule their dietary interviews at the end of their household interview, the MEC staff will attempt to schedule these appointments at the end of the examination. This option provides more flexibility to complete the interviews, which may improve completion rates. Program staff will monitor response rates closely to assess whether scheduling dietary interviews after the household interviews has an impact on response rates for dietary interviews and/or MEC exams. Although a few laboratory tests are new or have been removed in 2025– 2026, most remain but have been modified. Predominantly, modifications are the result of adjustments in age eligibility. Several laboratory tests that have not been modified include CBC, hemoglobin variants, HIV, cadmium, and lead. RBC folate forms, LDC cholesterol, and chlamydia are examples of tests that have been removed for 2025–2026. New laboratory tests include B vitamins, choline and metabolites, and aldosterone. The biospecimens collected for laboratory tests include urine and blood. Serum, plasma, DNA, and urine specimens will be stored for future testing if the participant provides consent. NHANES may conduct developmental projects during NHANES 2025–2026, with a focus on planning for NHANES 2027 and beyond. These may include activities such as tests of new equipment, crossover studies between current and proposed methods, tests of different study modes, settings or technology, outreach materials, incentive strategies, sample storage and processing or sample designs. Burden for individuals in 2025–2026 NHANES will vary based on their level of participation. For example, infants and children tend to have shorter interviews and exams than adults. This is because young people may have fewer health conditions or medications to report so their interviews take less time or because certain exams are only conducted on survey participants 18 and older, etc. In addition, adults often serve as proxy respondents for young people in their families. Participation in NHANES is voluntary and confidential. The Program is requesting a three-year approval, with 36,540 annualized hours of burden in this clearance proposal. khammond on DSKJM1Z7X2PROD with NOTICES ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Type of respondents Form name Individuals in households ....... Individuals in households ....... Household Screener Questionnaire ....................................... Survey Participant Questionnaire; & Household Questionnaire. MEC Examination & Interview Data Collection Forms .......... Individuals in households ....... VerDate Sep<11>2014 17:42 Sep 30, 2024 Jkt 265001 PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 E:\FR\FM\01OCN1.SGM Number of responses per respondent Average burden per response (in hours) 6,398 5,882 1 1 7/60 1 5,000 1 2 01OCN1 79929 Federal Register / Vol. 89, No. 190 / Tuesday, October 1, 2024 / Notices ESTIMATED ANNUALIZED BURDEN HOURS—Continued Form name Individuals in households ....... Day1 Dietary Instrument; MEC Dietary Recruitment Scheduling Instrument; Dietary Front-End Instrument; Dietary Incentives and Scheduling Instrument; MEC Dietary Reminder Call-in Instrument; & Flexible Consumer Behavior Survey (FCBS) Instrument. Day2 Dietary Instrument ........................................................ Developmental Projects & Special Studies ............................ Individuals in households ....... Individuals in households ....... 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. 2024–22473 Filed 9–30–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10593] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, Health and Human Services (HHS). ACTION: Notice. AGENCY: 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 (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 burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by December 2, 2024. SUMMARY: khammond on DSKJM1Z7X2PROD with NOTICES Number of respondents Type of respondents VerDate Sep<11>2014 17:42 Sep 30, 2024 Jkt 265001 When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to https:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number: ll, Room C4–26–05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRAListing. FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786–4669. SUPPLEMENTARY INFORMATION: ADDRESSES: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection’s supporting statement and associated materials (see ADDRESSES). CMS–10539 Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations Under the 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. PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 Number of responses per respondent Average burden per response (in hours) 5,882 1 1 5,882 3,500 1 1 36/60 3 The term ‘‘collection of information’’ is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA requires federal agencies to publish a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice. Information Collections 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations; Use: Home health services are covered for the elderly and disabled under the Hospital Insurance (Part A) and Supplemental Medical Insurance (Part B) benefits of the Medicare program and are described in section 1861(m) of the Social Security Act (the Act) (42 U.S.C. 1395x). These services must be furnished by, or under arrangement with, an HHA that participates in the Medicare program, and be provided on a visiting basis in the beneficiary’s home. They may include the following: • Part-time or intermittent skilled nursing care furnished by or under the supervision of a registered nurse. • Physical therapy, speech-language pathology, or occupational therapy. • Medical social services under the direction of a physician. • Part-time or intermittent home health aide services. • Medical supplies (other than drugs and biologicals) and durable medical equipment. • Services of interns and residents if the HHA is owned by or affiliated with E:\FR\FM\01OCN1.SGM 01OCN1

Agencies

[Federal Register Volume 89, Number 190 (Tuesday, October 1, 2024)]
[Notices]
[Pages 79927-79929]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-22473]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-24-0950]


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 ``National Health and Nutrition Examination 
Survey (NHANES)'' 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 13, 2024 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 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

    National Health and Nutrition Examination Survey (NHANES) (OMB 
Control No. 0920-0950, Exp. 04/30/

[[Page 79928]]

2025)--Revision -- National Center for Health Statistics (NCHS), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k) 
authorizes that the Secretary of Health and Human Services (DHHS), 
acting through NCHS, collect statistics on subjects in the United 
States, such as the extent and nature of illness and disability of the 
population; environment, social, and other health hazards; determinants 
of health; health resources; and utilization of healthcare. The 
National Health and Nutrition Examination Survey (NHANES) has been 
conducted periodically between 1970 and 1994, and continuously since 
1999 by the National Center for Health Statistics, CDC.
    NHANES produces descriptive statistics, which measure the health 
and nutritional status of the general population. With personal 
interviews, physical examinations, and laboratory assessments, NHANES 
studies the relationship between diet, nutrition, and health in a 
representative sample of the United States. NHANES monitors the 
prevalence of chronic conditions and risk factors and is used to 
produce national reference data on height, weight, and nutrient levels 
in the blood. Results from more recent NHANES can be compared to 
findings reported from previous surveys to monitor changes in the 
health of the U.S. population over time. In 2025-2026, the program is 
not considering any substantive changes to NHANES content or 
procedures. As in previous years, the base sample will remain at 
approximately 5,000 individuals interviewed and examined, annually. 
Children 0-17 years of age, persons 65 years of age or older, and non-
Hispanic Black persons will be oversampled in the 2025-2026 survey. 
NCHS collects personally identifiable information (PII). Participant 
level data items will include basic demographic information, name, 
address, social security number, Medicare number and participant health 
information to allow for linkages to other data sources such as the 
National Death Index and data from the Centers for Medicare and 
Medicaid Services.
    A variety of agencies sponsor data collection components on NHANES. 
In the 2025-2026 clearance proposal, the Program modified, added, or 
removed various components that were included in the August 2021-August 
2023 NHANES to update and modernize processes for data collection. 
NHANES staff conducted a thorough review of the survey participant and 
household questionnaire content and made changes to focus on retaining 
questions that are to be used in combination with specific exam or lab 
data collected in the survey, as independent prevalence estimates, or 
as covariates in statistical analyses (e.g., sociodemographic 
characteristics). Further review of all data collection instruments was 
done to update wording, update age restrictions for the respondent 
universe, align wording across instruments, eliminate duplicate 
questions, improve interview flow, and reduce respondent burden.
    With the construction of a new fleet of five mobile examination 
centers (MECs) with updated designs, the 2025-2026 exam components will 
include post consent-questions, anthropometry, oscillometer 
measurements, venipuncture, urine collection, MEC CAPI and ACASI 
questions, body composition, respiratory health, audiometry, visual 
acuity and ophthalmology, oral health, HPV oral rinse and DNA genital 
swab collection, and water fluoride testing. Liver elastography, urine 
testing for several sexually transmitted infections, serology testing 
for HPV and CMV antibodies, and MEC follow-up questionnaires were 
dropped.
    First Dietary Recall interviews, the Flexible Consumer Behavior 
Survey, and the Second Dietary Recall interviews will be conducted via 
telephone either before or after the MEC visit, which is a new approach 
for the 2025-2026 survey. If the participant does not schedule their 
dietary interviews at the end of their household interview, the MEC 
staff will attempt to schedule these appointments at the end of the 
examination. This option provides more flexibility to complete the 
interviews, which may improve completion rates. Program staff will 
monitor response rates closely to assess whether scheduling dietary 
interviews after the household interviews has an impact on response 
rates for dietary interviews and/or MEC exams.
    Although a few laboratory tests are new or have been removed in 
2025-2026, most remain but have been modified. Predominantly, 
modifications are the result of adjustments in age eligibility. Several 
laboratory tests that have not been modified include CBC, hemoglobin 
variants, HIV, cadmium, and lead. RBC folate forms, LDC cholesterol, 
and chlamydia are examples of tests that have been removed for 2025-
2026. New laboratory tests include B vitamins, choline and metabolites, 
and aldosterone. The biospecimens collected for laboratory tests 
include urine and blood. Serum, plasma, DNA, and urine specimens will 
be stored for future testing if the participant provides consent.
    NHANES may conduct developmental projects during NHANES 2025-2026, 
with a focus on planning for NHANES 2027 and beyond. These may include 
activities such as tests of new equipment, crossover studies between 
current and proposed methods, tests of different study modes, settings 
or technology, outreach materials, incentive strategies, sample storage 
and processing or sample designs.
    Burden for individuals in 2025-2026 NHANES will vary based on their 
level of participation. For example, infants and children tend to have 
shorter interviews and exams than adults. This is because young people 
may have fewer health conditions or medications to report so their 
interviews take less time or because certain exams are only conducted 
on survey participants 18 and older, etc. In addition, adults often 
serve as proxy respondents for young people in their families.
    Participation in NHANES is voluntary and confidential. The Program 
is requesting a three-year approval, with 36,540 annualized hours of 
burden in this clearance proposal.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
        Type of respondents                   Form name              Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Individuals in households..........  Household Screener                    6,398               1            7/60
                                      Questionnaire.
Individuals in households..........  Survey Participant                    5,882               1               1
                                      Questionnaire; & Household
                                      Questionnaire.
Individuals in households..........  MEC Examination & Interview           5,000               1               2
                                      Data Collection Forms.

[[Page 79929]]

 
Individuals in households..........  Day1 Dietary Instrument;              5,882               1               1
                                      MEC Dietary Recruitment
                                      Scheduling Instrument;
                                      Dietary Front-End
                                      Instrument; Dietary
                                      Incentives and Scheduling
                                      Instrument; MEC Dietary
                                      Reminder Call-in
                                      Instrument; & Flexible
                                      Consumer Behavior Survey
                                      (FCBS) Instrument.
Individuals in households..........  Day2 Dietary Instrument....           5,882               1           36/60
Individuals in households..........  Developmental Projects &              3,500               1               3
                                      Special Studies.
----------------------------------------------------------------------------------------------------------------


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. 2024-22473 Filed 9-30-24; 8:45 am]
BILLING CODE 4163-18-P
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