19362 Federal Register / Vol. 76, No. 67 / Thursday, April 7, 2011 / Notices 

dissemination. The Division is the focal 

point for policy development and 

analysis related to financing, access/ 

delivery, organization and quality of 

Intellectual Disabilities and Serious and 

Persistent Mental Illnesses services, 

including those financed by Medicaid, 

Medicare, SAMHSA, Administration on 

Developmental Disabilities and HRSA. 

The Division works closely with other 

offices in ASPE because the two 

vulnerable populations that are its focus 

are users of both human services and 

health services. 

II. Delegations of Authority: All 

delegations and redelegations of 

authority made to officials and 

employees of affected organizational 

components will continue in them or 

their successors pending further 

redelegation, provided they are 

consistent with this reorganization. 

Dated: March 30, 2011. 

E.J. Holland, Jr., 

Assistant Secretary for Administration. 

[FR Doc. 2011–8357 Filed 4–6–11; 8:45 am] 

BILLING CODE 4150–04–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–11–11EC] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–5960 and 

send comments to Daniel Holcomb, CDC 

Acting Reports Clearance Officer, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Epidemiologic Study of Health Effects 

Associated With Low Pressure Events in 

Drinking Water Distribution Systems 

—New—National Center for Emerging 

and Zoonotic Infectious Diseases— 

Office of Infectious Diseases—CDC. 

Background and Brief Description 

In the United States, drinking water 

distribution systems are designed to 

deliver safe, pressurized drinking water 

to our homes, hospitals, schools and 

businesses. However, the water 

distribution infrastructure is 50–100 

years old in much of the U.S. and an 

estimated 240,000 water main breaks 

occur each year. Failures in the 

distribution system such as water main 

breaks, cross-connections, back-flow, 

and pressure fluctuations can result in 

potential intrusion of microbes and 

other contaminants that can cause 

health effects, including acute 

gastrointestinal and respiratory illness. 

Approximately 200 million cases of 

acute gastrointestinal illness occur in 

the U.S. each year, but we don’t have 

reliable data to assess how many of 

these cases are associated with drinking 

water. Further, data are even more 

limited on the human health risks 

associated with exposure to drinking 

water during and after the occurrence of 

low pressure events (such as water main 

breaks) in drinking water distribution 

systems. A study conducted in Norway 

from 2003–2004 found that people 

exposed to low pressure events in the 

water distribution system had a higher 

risk for gastrointestinal illness. A 

similar study is needed in the United 

States. 

The purpose of this data collection is 

to conduct an epidemiologic study in 

the U.S. to assess whether individuals 

exposed to low pressure events in the 

water distribution system are at an 

increased risk for acute gastrointestinal 

or respiratory illness. This study would 

be, to our knowledge, the first U.S. 

study to systematically examine the 

association between low pressure events 

and acute gastrointestinal and 

respiratory illnesses. Study findings will 

inform the Environmental Protection 

Agency (EPA), CDC, and other drinking 

water stakeholders of the potential 

health risks associated with low 

pressure events in drinking water 

distribution systems and whether 

additional measures (e.g., new 

standards, additional research, or policy 

development) are needed to reduce the 

risk for health effects associated with 

low pressure events in the drinking 

water distribution system. 

We will conduct a cohort study 

among households that receive water 

from five water utilities across the U.S. 

The water systems will be 

geographically diverse and will include 

both chlorinated and chloraminated 

systems. These water utilities will 

provide information about low pressure 

events that occur during the study 

period. Households in areas exposed to 

the low pressure event and an equal 

number of households in an unexposed 

area will be randomly selected and sent 

a survey questionnaire. After consenting 

to participate, households will be asked 

about symptoms and duration of any 

recent gastrointestinal or respiratory 

illness, tap water consumption, and 

other factors including international 

travel, daycare attendance or 

employment, and exposure to undercooked or unpasteurized food, pets and 

other animal contact, and recreational 

water. Study participants will be able to 

choose their method of survey response 

from a variety of options including a 

paper survey, telephone-administered 

survey, or Web-based survey. A Spanish 

language version of the survey for all 

response options will also be available. 

Participation in this study will be 

voluntary. No financial compensation 

will be provided to study participants. 

The study duration is anticipated to last 

12 months. An estimated 5,200 

individuals will be contacted and we 

anticipate 2,080 adults (18 years of age 

or older) will consent to participate in 

this study. We will conduct a pilot 

study (duration 3 months) prior to 

launching the full epidemiologic study. 

An estimated 1,000 individuals will be 

contacted and we anticipate 400 adults 

(18 years of age or older) will consent 

to participate in the pilot study. The 

total estimated annualized hours 

associated with this study, including the 

pilot, is expected to be 601. 

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Federal Register / Vol. 76, No. 67 / Thursday, April 7, 2011 / Notices 19363 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(hours) 

Total burden 

(hours) 

Full Study: 

Households ......................... Introductory letter and consent form ....... 5,200 1 1/60 87 

Households ......................... Web-based questionnaire ....................... 1,248 1 12/60 250 

Households ......................... Paper-based questionnaire ..................... 624 1 12/60 125 

Households ......................... Telephone-based questionnaire ............. 208 1 12/60 42 

Total (full study): .......... ................................................................. ........................ ........................ ........................ 504 

Pilot Study: 

Households ......................... Introductory letter and consent form ....... 1000 1 1/60 17 

Households ......................... Web-based questionnaire ....................... 240 1 12/60 48 

Households ......................... Paper-based questionnaire ..................... 120 1 12/60 24 

Households ......................... Telephone-based questionnaire ............. 40 1 12/60 8 

Total (pilot study) ......... ................................................................. ........................ ........................ ........................ 97 

Total (Full & Pilot) ........ ................................................................. ........................ ........................ ........................ 601 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–8271 Filed 4–6–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–11–0672] 

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 

Indicators of the Performance of 

Local, State, Territorial, and Tribal 

Education Agencies in HIV Prevention, 

Coordinated School Health Program, 

and Asthma Management Activities for 

Adolescent and School Health Programs 

(OMB No. 0920–0672, exp. 6/30/2011)— 

Revision—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

CDC is requesting OMB approval for 

three years to continue annual 

information collection for the Indicators 

for School Health programs. The 

Indicators assess programmatic 

activities among local education 

agencies (LEA) and State, territorial, and 

Tribal government education agencies 

(SEAs, TEAs, and TGs) funded by the 

Division of Adolescent and School 

Health (DASH), Centers for Disease 

Control and Prevention. Currently, the 

Indicators for School Health Programs 

are the only standardized annual 

reporting process for HIV prevention 

activities or coordinated school health 

program (CSHP) activities among LEAs 

and SEAs/TEAs/TGs funded by DASH. 

The questionnaires correspond to the 

specific funding source from the 

Division of Adolescent and School 

Health: two questionnaires pertain to 

HIV-prevention program activities 

among LEAs and SEAs/TEAs/TGs; one 

pertains to CSHP/PANT activities 

among SEAs/TGs; and one pertains to 

asthma management activities among 

LEAs. All information is collected 

electronically on a Web site managed by 

DASH. 

Two HIV prevention questionnaires 

include questions on project planning, 

materials distribution, professional 

development activities, provision of 

technical assistance, collaboration with 

external partners, and reducing health 

disparities among populations at 

disproportionate risk. The CSHP/PANT 

questionnaire focuses on the activities 

above as well as on physical activity, 

healthy eating, and tobacco-use 

prevention activities. The asthma 

management questionnaire includes 

questions on project planning, materials 

distribution, professional development 

activities, provision of technical 

assistance, collaboration with external 

partners, reducing health disparities 

among populations at disproportionate 

risk, and health services. 

The information collected by CDC is 

used to: (1) Provide standardized 

information about how LEAs and SEAs/ 

TEAs/TGs use funds for programs in 

HIV prevention, asthma management, 

and coordinated school health/physical 

activity, nutrition, and tobacco-use 

prevention (CSHP/PANT); (2) assess the 

extent to which programmatic 

adjustments are indicated; (3) provide 

descriptive and process information 

about program activities; and (4) 

provide greater accountability for use of 

public funds. 

The questionnaires previously 

approved for collecting FY2009 data 

will be used to collect FY2010 data. 

Minor changes to the questionnaires 

will be implemented for the FY2011 and 

FY2012 data collections, however, the 

proposed changes will not alter the 

estimated burden per response. An 

increase in the average number of 

funded programs over the three years of 

this clearance will result in a net 

increase in burden hours. A minor 

change to the title of the clearance is 

being requested to more accurately 

reflect the participation of Territorial 

and Tribal Education Agencies. 

There are no costs to respondents 

other than their time. The total 

estimated annualized burden hours are 

811. 

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