Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 12119 

that have the potential for use as agents 

of bioterrorism, inflicting significant 

morbidity and mortality on susceptible 

populations. 

In light of current terrorism concerns 

and the significant NIH grant monies 

directed toward Select Agent research, 

CDC receives hundreds of requests for 

Select Agents from researchers. The 

approximately 900 applicants are 

required to complete an application 

form in which they identify themselves 

and their institution, provide a 

Curriculum Vitae or biographical 

sketch, a summary of their research 

proposal, and sign indemnification and 

material transfer agreement statements. 

In this request, CDC is requesting 

approval for approximately 450 hours; 

no change from the currently approved 

burden. The only correction to this data 

collection request is updating the name 

of the National Center on the 

application form. A user fee will be 

collected to recover costs for materials, 

handling and shipping (except for 

public health laboratories). The cost to 

the respondent will vary based on 

which agent is requested. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondent Number of respondents 

Number of responses per 

respondent 

Average burden per response 

(in hours) 

Total burden 

(in hours) 

Researcher ...................................................................................................... 900 1 30/60 450

Total .......................................................................................................... ........................ ........................ ........................ 450 

Dated: February 25, 2011. 

Carol E. Walker, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–4948 Filed 3–3–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30-Day–11–0666] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

National Healthcare Safety Network 

(NHSN) (OMB No. 0920–0666 exp. 

3/31/2012)—Revision—National Center 

for Emerging and Zoonotic Infectious 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

The National Healthcare Safety 

Network (NHSN) is a system designed to 

accumulate, exchange, and integrate 

relevant information and resources 

among private and public stakeholders 

to support local and national efforts to 

protect patients and to promote 

healthcare safety. Specifically, the data 

is used to determine the magnitude of 

various healthcare-associated adverse 

events and trends in the rates of these 

events among patients and healthcare 

workers with similar risks. Healthcare 

institutions that participate in NHSN 

voluntarily report their data to CDC 

using a web browser based technology 

for data entry and data management. 

Data are collected by trained 

surveillance personnel using written 

standardized protocols. The data will be 

used to detect changes in the 

epidemiology of adverse events 

resulting from new and current medical 

therapies and changing risks. 

This revision submission includes an 

amended Assurance of Confidentiality, 

which required an update of the 

Assurance of Confidentiality language 

on all forms included in the NHSN 

surveillance system. The scope of NHSN 

dialysis surveillance is being expanded 

to include all outpatient dialysis centers 

so that the existing Dialysis Annual 

Survey can be used to facilitate 

prevention objectives set forth in the 

HHS HAI tier 2 Action Plan and to 

assess national practices in all 

Medicare-certified dialysis centers if 

CMS re-establishes this survey method 

(as expected). The Patient Safety (PS) 

Component is being expanded to 

include long term care facilities to 

facilitate HAI surveillance in this 

setting, for which no standardized 

reporting methodology or mechanism 

currently exists. Four new forms are 

proposed for this purpose. A new form 

is proposed to be added to the 

Healthcare Personnel Safety (HPS) 

Component to facilitate summary 

reporting of influenza vaccination in 

healthcare workers, which is anticipated 

to be required by CMS in the near 

future. In addition to this new form, the 

scope of the HPS Annual Facility 

Survey is being expanded to include all 

acute care facilities that would enroll if 

CMS does implement this requirement. 

The NHSN Antimicrobial Use and 

Resistance module is transitioning from 

manual web entry to electronic data 

upload only, which results in a 

significant decrease to the reporting 

burden for this package. Finally, there 

are many updates, clarifications, and 

data collection revisions proposed in 

this submission. 

CDC is requesting to delete four 

currently approved forms that are no 

longer needed by the NHSN and add 

five new forms 

The previously-approved NHSN 

package included 47 individual data 

collection forms. If all proposed 

revisions are approved, the reporting 

burden will decrease by 1,258,119 

hours, for a total estimated burden of 

3,914,125 hours and 48 total data 

collection tools. 

Participating institutions must have a 

computer capable of supporting an 

Internet service provider (ISP) and 

access to an ISP. There is no cost to 

respondents other than their time. The 

total estimated annual burden hours are 

3,914,125. 


jlentini on DSKJ8SOYB1PROD with NOTICES
12120 Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondents Form name Number of 

respondents 

Responses 

per respondent 

Burden per 

response 

(hours) 

Infection Preventionist ............ NHSN Registration Form ....................................................... 6,000 1 5/60 

Facility Contact Information .................................................... 6,000 1 10/60 

Patient Safety Component—Annual Facility Survey .............. 6,000 1 40/60 

Patient Safety Component—Outpatient Dialysis Center 

Practices Survey.

5,500 1 1 

Group Contact Information ..................................................... 6,000 1 5/60 

Patient Safety Monthly Reporting Plan .................................. 6,000 9 35/60 

Primary Bloodstream Infection (BSI) ...................................... 6,000 36 32/60 

Dialysis Event ......................................................................... 500 75 15/60 

Pneumonia (PNEU) ................................................................ 6,000 72 32/60 

Urinary Tract Infection (UTI) .................................................. 6,000 27 32/60 

Staff RN .................................. Denominators for Neonatal Intensive Care Unit (NICU) ........ 6,000 9 4 

Denominators for Specialty Care Area (SCA) ....................... 6,000 9 5 

Denominators for Intensive Care Unit (ICU)/Other locations 

(not NICU or SCA).

6,000 18 5 

Staff RN .................................. Denominator for Outpatient Dialysis ...................................... 500 12 5/60 

Infection Preventionist ............ Surgical Site Infection (SSI) ................................................... 6,000 27 32/60 

Staff RN .................................. Denominator for Procedure .................................................... 6,000 540 10/60 

Laboratory Technician ............ Antimicrobial Use and Resistance (AUR)-Microbiology Data 

Electronic Upload Specification Tables.

6,000 12 5/60 

Pharmacy Technician ............. Antimicrobial Use and Resistance (AUR)-Pharmacy Data 

Electronic Upload Specification Tables.

6,000 12 5/60 

Infection Preventionist ............ Central Line Insertion Practices Adherence Monitoring ........ 6,000 100 5/60 

MDRO or CDI Infection Form ................................................ 6,000 72 32/60 

MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring.6,000 24 10/60 

Laboratory-identified MDRO or CDI Event ............................ 6,000 240 25/60 

Vaccination Monthly Monitoring Form—Summary Method ... 6,000 5 14 

Vaccination Monthly Monitoring Form—Patient-Level Method.2,000 5 2 

Patient Vaccination ................................................................. 2,000 250 10/60 

Patient Safety Component—Annual Facility Survey for 

LTCF.

250 1 25/60 

Laboratory-identified MDRO or CDI Event for LTCF ............. 250 8 30/60 

MDRO and CDI Prevention Process Measures Monthly 

Monitoring for LTCF.

250 3 7/60 

Urinary Tract Infection (UTI) for LTCF ................................... 250 9 30/60 

Occ Health RN ........................ Healthcare Personnel Safety Component Annual Facility 

Survey.

6,000 1 8 

Healthcare Worker Survey ..................................................... 600 100 10/60 

Healthcare Personnel Safety Monthly Reporting Plan .......... 600 9 10/60 

Healthcare Worker Demographic Data .................................. 600 200 20/60 

Exposure to Blood/Body Fluids .............................................. 600 50 1 

Healthcare Worker Prophylaxis/Treatment ............................ 600 10 15/60 

Laboratory Technician ............ Follow-Up Laboratory Testing ................................................ 600 100 15/60 

Occ Health RN ........................ Healthcare Worker Vaccination History ................................. 600 300 10/60 

Occ Health RN ........................ Healthcare Worker Influenza Vaccination .............................. 600 500 10/60 

Healthcare Worker Prophylaxis/Treatment-Influenza ............ 600 50 10/60 

Pre-season Survey on Influenza Vaccination Programs for 

Healthcare Personnel.

600 1 10/60 

Post-season Survey on Influenza Vaccination Programs for 

Healthcare Personnel.

600 1 10/60 

Healthcare Personnel Influenza Vaccination Monthly Summary.6,000 6 2 

Clinical Laboratory Technologist.Hemovigilance Module Annual Survey .................................. 500 1 2 

Hemovigilance Module Monthly Reporting Plan .................... 500 12 2/60 

Hemovigilance Module Monthly Incident Summary ............... 500 12 2 

Hemovigilance Module Monthly Reporting Denominators ..... 500 12 30/60 

Hemovigilance Adverse Reaction .......................................... 500 120 10/60 

Hemovigilance Incident .......................................................... 500 72 10/60 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 12121 

Dated: February 25, 2011. 

Catina Conner, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–4946 Filed 3–3–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30-Day–11–0770] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an 

e-mail to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

National HIV Behavioral Surveillance 

System (NHBS) 0920–0770 (exp. 03/31/ 

2011)—Revision-National Center for 

HIV, Hepatitis, STD, and TB Prevention 

(NCHHSTP), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The purpose of this data collection is 

to monitor behaviors related to human 

immunodeficiency virus (HIV) infection 

among persons at high risk for infection 

in the United States. The primary 

objectives of NHBS are to obtain data 

from samples of persons at risk to: (a) 

Describe the prevalence and trends in 

risk behaviors; (b) describe the 

prevalence of and trends in HIV testing 

and HIV infection; (c) describe the 

prevalence of and trends in use of HIV 

prevention services; (d) identify met and 

unmet needs for HIV prevention 

services in order to inform health 

departments, community-based 

organizations, community planning 

groups and other stakeholders. This 

project addresses the goals of CDC’s HIV 

prevention strategic plan, specifically 

the goal of strengthening the national 

capacity to monitor the HIV epidemic to 

better direct and evaluate prevention 

efforts. 

For the proposed data collection, CDC 

has revised the interview data collection 

instruments. A few questions were 

added (related to health care access and 

utilization, use of pre-exposure 

prophylaxis, homophobia, HIV stigma, 

and discrimination), some were 

removed, and others were revised from 

the previously approved instrument to 

make them easier for respondents to 

understand and respond appropriately. 

The project activities and methods will 

remain the same as those used in the 

previously approved collection. 

Data are collected through 

anonymous, in-person interviews 

conducted with persons systematically 

selected from 25 Metropolitan Statistical 

Areas (MSAs) throughout the United 

States; these 25 MSAs were chosen 

based on having high AIDS prevalence. 

Persons at risk for HIV infection to be 

interviewed for NHBS include men who 

have sex with men (MSM), injecting 

drug users (IDUs), and heterosexuals at 

increased risk of HIV (HET). A brief 

screening interview will be used to 

determine eligibility for participation in 

the behavioral assessment. The data 

from the behavioral assessment will 

provide estimates of behavior related to 

the risk of HIV and other sexually 

transmitted diseases, prior testing for 

HIV, and use of HIV prevention 

services. All persons interviewed will 

also be offered an HIV test and will 

participate in a pre-test counseling 

session. No other Federal agency 

systematically collects this type of 

information from persons at risk for HIV 

infection. These data have substantial 

impact on prevention program 

development and monitoring at the 

local, State, and national levels. 

CDC estimates that NHBS will 

involve, per year in each of the 25 

MSAs, eligibility screening for 50 to 200 

persons and eligibility screening plus 

the survey with 500 eligible 

respondents, resulting in a total of 

37,500 eligible survey respondents and 

7,500 ineligible screened persons during 

a 3-year period. Data collection will 

rotate such that interviews will be 

conducted among one group per year: 

MSM in year 1, IDU in year 2, and HET 

in year 3. The type of data collected for 

each group will vary slightly due to 

different sampling methods and risk 

characteristics of the group. 

This request is for a revision and an 

approval for an additional 3 years of 

data collection. Participation of 

respondents is voluntary and there is no 

cost to the respondents other than their 

time. The total estimated annualized 

burden hours are 9,931. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Responses 

per respondent 

Average 

burden per 

response (in 

hours) 

Year 1 (MSM): 

Persons Screened ......................................................................... Screener ............................... 17,500 1 5/60 

Eligible Participants ....................................................................... Survey ................................... 12,500 1 30/60 

Year 2 (IDU).

Persons Referred by Peer Recruiters ........................................... Screener ............................... 13,750 1 5/60 

Eligible Participants ....................................................................... Survey ................................... 12,500 1 54/60 

Peer Recruiters ............................................................................. Recruiter Debriefing .............. 6,250 1 2/60 

Year 3 (HET): 

Persons Referred by Peer Recruiters ........................................... Screener ............................... 13,750 1 5/60 

Eligible Participants ....................................................................... Survey ................................... 12,500 1 39/60 

Peer Recruiters ............................................................................. Recruiter Debriefing .............. 6,250 1 2/60 


jlentini on DSKJ8SOYB1PROD with NOTICES