Federal Register / Vol. 69, No. 199 / Friday, October 15, 2004 / Notices 61253

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 

Public Health Injury Surveillance and 

Prevention Program—New—National 

Center for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Injury is the leading cause of death 

and disability among children and 

young adults. In 2000, more than 

148,000 people died from injuries. 

Among them 43,354 died from motorvehicle crashes; 29,350 died from 

suicide; 16,765 died from homicide; 

13,322 died from unintentional falls; 

12,757 from unintentional poisonings; 

3,482 died from unintentional 

drowning; 3,377 died from fires. These 

external causes can often result in 

Traumatic Brain Injury (TBI), if not in 

death. Each year, an estimated 1.5 

million Americans sustain a TBI. As a 

consequence of these TBI injuries 

230,000 people are hospitalized and 

survive; 50,000 people die; and 80,000 

to 90,000 people experience the onset of 

long-term disability. An estimated 5.3 

million Americans live with a 

permanent TBI-related disability. 

However, this estimate does not include 

people with ‘‘mild’’ TBI who are seen in 

emergency departments or outpatient 

encounters, nor those who do not 

receive medical care. The annual 

economic burden of TBI in the United 

States has been estimated at $56.3 

billion in 1995 dollars; however, human 

costs of the long-term impairments and 

disabilities associated with TBI are 

incalculable. Because many TBI related 

disabilities are not conspicuous deficits, 

they are referred to as the invisible or 

silent epidemic. These disabilities, 

arising from cognitive, emotional, 

sensory, and motor impairments, often 

permanently alter a person’s ability to 

maximize daily life experiences and 

have profound effects on social and 

family relationships. To implement 

more effective programs to prevent these 

injuries, we need reliable data on their 

causes and risk factors. State 

surveillance data can be used to (1) 

identify trends in TBI incidence, (2) 

enable the development of causespecific prevention strategies focused on 

populations at greatest risk, (3) and 

monitor the effectiveness of prevention 

programs. 

This project will develop and 

maintain injury surveillance programs, 

including those with a focus on TBI and 

emergency department surveillance for 

mild TBI. The goal of this program is to 

develop quality data that will (a) be 

useful to State injury prevention and 

control programs, (b) enable states to 

develop injury indicators, (c) enable 

estimates of TBI incidence and public 

health consequences and (d) facilitate 

the use of TBI surveillance data to link 

individuals with information about TBI 

services. 

Program recipients will collect 

information from pre-existing state data 

sets to calculate injury indicators in 

their state. In addition, a small group of 

states will review and abstract medical 

records to obtain data for variables that 

address severity of injury, 

circumstances and etiology of injury, 

and early outcome of injury in a large 

representative sample of reported cases 

of TBI-related hospitalization and mild 

TBI-related emergency department 

visits. The abstracted data will be 

stripped of all identifying information 

before submitting to CDC. CDC will 

fund up to 12 state health departments. 

The state health departments will use 

standardized data elements to abstract 

data. There will be no cost to 

respondents.

Respondents Number of

respondents 

Number of

responses/

respondent 

Average burden/response

(in hours) 

Total burden 

hours 

State Health Departments ............................................................................... 12 1000 1 12,000 

Total .......................................................................................................... ........................ ........................ ........................ 12,000 

Dated: October 8, 2004. 

Alvin Hall, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention.

[FR Doc. 04–23142 Filed 10–14–04; 8:45 am] 

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–04–0237] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

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) 498–1210 or send an 

email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Human 

Resources and Housing Branch, New 

Executive Office Building, Room 10235, 

Washington, DC 20503 or by fax to (202) 

395–6974. Written comments should be 

received within 30 days of this notice. 

Proposed Project 

The 2005–2006 National Health and 

Nutrition Examination Survey 

(NHANES), OMB No. 0920–0237—

Revision—National Center for Health 

Statistics (NCHS), Centers for Disease 

Control and Prevention (CDC). 

NHANES programs produce 

descriptive statistics which measure the 

health and nutrition status of the 

general population. Through the use of 

questionnaires, physical examinations, 

and laboratory tests, NHANES studies 

the relationship between diet, nutrition 

and health in a representative sample of 

the United States. CDC uses NHANES to 

monitor the prevalence of chronic 

conditions and risk factors related to 

health such as asthma, osteoporosis, 

infectious diseases, diabetes, eye 

disease, high blood pressure, high 

cholesterol, obesity, smoking, drug and 

alcohol use, physical activity, 

environmental exposures, and diet. 

NHANES data are used to establish 

reference data for the general population 

against which health care providers can 

compare such patient characteristics as 

height, weight, and nutrient levels in 

61254 Federal Register / Vol. 69, No. 199 / Friday, October 15, 2004 / Notices 

the blood. Data from NHANES can be 

compared to those from previous 

surveys to monitor changes in the health 

of the U.S. population. NHANES will 

also establish a national probability 

sample of genetic material for future 

genetic research for susceptibility to 

disease. 

Users of NHANES data include: 

Congress; Federal agencies such as NIH, 

EPA, and USDA; private groups such as 

the American Heart Association; schools 

of public health; private businesses; 

individual practitioners; and 

administrators. NHANES data are used 

to establish, monitor, and/or evaluate 

dietary guidelines, food fortification 

policies, environmental exposures, 

immunization guidelines and health 

education and disease prevention 

programs. The current submission 

requests approval through March 2007. 

CDC, National Center for Health 

Statistics has conducted the National 

Health and Nutrition Examination 

Survey (NHANES) periodically since 

1970, and continuously since 1999. 

Approximately 5,000 participants are 

examined annually. Participants will 

receive an interview, a physical 

examination, a telephone dietary 

interview and a home allergen dust 

collection. This survey is completely 

voluntary and confidential. 

Respondents are reimbursed for any outof-pocket costs such as transportation to 

and from the examination center. There 

is no cost to respondents other than 

their time. The annualized burden is 

estimated to be 62,957 hours.

Respondent category No. of

respondents 

No. of

responses/

respondent 

Avg. burden/

response

(in hrs.) 

1. Screening interview only ......................................................................................................... 13,333 1 10/60 

2. Screener, family, and sample person interviews only ............................................................ 300 1 1.17 

3. Screener, family, and sample person interviews and MEC examination (including pilot 

studies) ..................................................................................................................................... 5,180 1 5.9 

4. Household dust collection ....................................................................................................... 2,328 1 36/60 

5. Food propensity questionnaire ................................................................................................ 3,350 1 30/60 

6. Physical activity monitor .......................................................................................................... 4,000 1 15/60 

7. Second dietary recall interview ............................................................................................... 4,300 1 30/60 

8. Follow-up and Special studies ................................................................................................ 4,000 1 5.9 

Dated: October 8, 2004. 

Alvin Hall, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention.

[FR Doc. 04–23148 Filed 10–14–04; 8:45 am] 

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–04–0636] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

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) 498–1210 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Human 

Resources and Housing Branch, New 

Executive Office Building, Room 10235, 

Washington, DC 20503 or by fax to (202) 

395–6974. Written comments should be 

received within 30 days of this notice. 

Proposed Project 

State-based Evaluation of the Alert 

Notification Component of CDC’s 

Epidemic Information Exchange (Epi-X) 

Secure Public Health Communications 

Network (OMB No. 0920–0636)—

Extension—Epidemiology Program 

Office (EPO), Centers for Disease 

Control and Prevention (CDC). 

Great attention has been focused on 

improving secure public health 

communications networks for the 

dissemination of critical disease 

outbreak and/or bioterrorism-related 

events, which may have multijurisdictional involvement and cause 

disease and death within a short timeframe. A central component of the 

mission of the CDC’s Epidemiology 

Program Office (EPO) is to strengthen 

the nation’s public health infrastructure 

by coordinating public health 

surveillance at CDC and providing 

domestic and international support 

through scientific communications and 

terrorism preparedness and emergency 

response. The Office of Scientific and 

Health Communication’s Epidemic 

Information Exchange (Epi-X) provides 

CDC and its state and local partners and 

collaborators with a secure public 

health communications network 

intended for routine and emergent 

information exchange in a secure 

environment. 

The purpose of the information 

gathered during this notification 

proficiency testing exercise is to 

evaluate the extent to which new 

registrants and currently authorized 

users of the Epidemic Information 

Exchange (Epi-X) are able to utilize alert 

notification functionality to minimize or 

prevent unnecessary injury or diseaserelated morbidity and mortality through 

the use of secure communications and 

rapid notification systems. In this case, 

notification alerts would be sent to 

targeted public health professionals 

through a ‘‘barrage’’ of office cell phone, 

home telephone, and pager calls to 

rapidly inform key health authorities 

from multidisciplinary backgrounds and 

multiple jurisdictions of evolving and 

critical public health information, and 

assist with the decision-making process. 

Presently, the necessity of this 

evaluation process is timely because of 

ongoing terrorism threats and acts 

perpetrated worldwide. 

The survey information will be 

gathered through an online 

questionnaire format. The survey will 

help evaluate user comprehension 

solely with the targeted notification and 

rapid alerting functionalities of Epi-X. 

The questionnaire will consist of both 

closed- and open-ended items and will 

be administered through Zoomerang, an 

online questionnaire program, or as a 

last resort, by telephone. Approximately 

6,000 Epi-X users from every state of the 

union will be asked to volunteer input 

(in a 5–10 question format) about their 

experiences using the alert notification 

functionalities of the Epi-X 

communications system. The estimated 

annualized burden is 167 hours.