64576 Federal Register / Vol. 83, No. 241 / Monday, December 17, 2018 / Notices 

instruments, call (404) 639–7570 or 

send an email to omb@cdc.gov. 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 

FoodNet Population Survey (0920– 

1112, Expiration Date 4/30/2019)— 

Extension—National Center for 

Emerging and Zoonotic Infectious 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Foodborne illnesses represent a 

significant public health burden in the 

United States. It is estimated that each 

year, 48 million Americans (one in six) 

become ill, 128,000 are hospitalized, 

and 3,000 die as the result of a 

foodborne illness. Since 1996, the 

Foodborne Diseases Active Surveillance 

Network (FoodNet) has conducted 

active population-based surveillance for 

Campylobacter, Cryptosporidium, 

Cyclospora, Listeria, Salmonella, Shiga 

toxin-producing Escherichia coli O157 

and non-O157, Shigella, Vibrio, and 

Yersinia infections. Data from FoodNet 

serves as the nation’s ‘‘report card’’ on 

food safety by monitoring progress 

toward CDC Healthy People 2020 

objectives. 

Since the previous OMB approval, 

pilot testing has been completed and 

data collection began in all states. As of 

July 10, 2018 a total of 11,657 surveys 

have been completed between all survey 

modes including landline, cell phone, 

web, and mail. CDC is seeking three 

years of OMB clearance for an extension 

of control number 0920–1112. 

Evaluation of efforts to control 

foodborne illnesses can only be done 

effectively if there is an accurate 

estimate of the total number of illness 

that occur, and if these estimates are 

recalculated and monitored over time. 

Estimates of the total burden start with 

accurate and reliable estimates of the 

number of acute gastrointestinal illness 

episodes that occur in the general 

community. To more precisely estimate 

this, and to describe the frequency of 

important exposures associated with 

illness, FoodNet created the Population 

Survey. 

The FoodNet Population Survey is a 

survey of persons residing in the 

surveillance area. Data are collected on 

the prevalence and severity of acute 

gastrointestinal illness in the general 

population, describe common 

symptoms associated with diarrhea, and 

determine the proportion of persons 

with diarrhea who seek medical care. 

The survey also collects data on 

exposures (e.g. food, water, animal 

contact) commonly associated with 

foodborne illness. Information about 

food exposures in the general public has 

proved invaluable during outbreak 

investigations. The ability to compare 

exposures reported by outbreak cases to 

the ‘background’ exposure in the general 

population allows investigators to more 

quickly pinpoint a source and enact 

control measures. 

CDC seeks OMB approval for a three 

year extension to continue this work. 

There is no cost to the respondents 

other than their time. Total estimated 

annual burden is 6,000 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

U.S. General Population ................................. FoodNet Population Survey ........................... 18,000 1 20/60 

Jeffrey M. Zirger, 

Acting Lead, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of Science, Centers for Disease Control and 

Prevention. 

[FR Doc. 2018–27223 Filed 12–14–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–19–0960] 

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 Epidemiologic 

Study of Health Effects Associated With 

Low Pressure Events in Drinking Water 

Distribution Systems 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 August 

29, 2018 to obtain comments from the 

public and affected agencies. CDC 

received five 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 or 

send an email to omb@cdc.gov. 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 

Epidemiologic Study of Health Effects 

Associated With Low Pressure Events in 

Drinking Water Distribution Systems 


amozie on DSK3GDR082PROD with NOTICES1
Federal Register / Vol. 83, No. 241 / Monday, December 17, 2018 / Notices 64577 

(0920–0960, Expiration Date 08/31/ 

2018)—Reinstatement with Change— 

National Center for Emerging and 

Zoonotic Infectious Diseases (NCEZID), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

CDC is seeking a three year 

reinstatement of OMB Control No. 

0920–0960, Epidemiologic Study of 

Health Effects Associated With Low 

Pressure Events in Drinking Water 

Distribution Systems. 

In the United States (U.S.), 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 lack 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. 

Studies in both Norway and Sweden 

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 seven 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 using a standardized form 

(approximately 13 events per utility). 

Utilities will provide address listings of 

households in areas exposed to the low 

pressure event and comparable 

households in an unexposed area to 

CDC staff, who will randomly select 

participants and send them a 

questionnaire. Consenting household 

respondents will be asked about 

symptoms and duration of any recent 

gastrointestinal or respiratory illness, 

tap water consumption, and other 

exposures including international 

travel, daycare attendance or 

employment, animal contacts, and 

recreational water exposures. Study 

participants may choose between two 

methods of survey response: A mail-in 

paper survey and a web-based survey. 

Participation in this study will be 

voluntary. No financial compensation 

will be provided to study participants. 

The study duration is anticipated to last 

36 months. The annualized burden is 

estimated to be 199 hours. There are no 

costs to respondents other than their 

time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Water Utility customer ..................................... Paper-based questionnaire ............................ 240 1 12/60 

Web-based questionnaire .............................. 160 1 12/60 

Water Utility maintenance worker ................... LPE form, ultrafilter and grab samples .......... 5 3 145/60 

LPE form, grab samples ................................ 5 2 45/60 

Water Utility Environmental Engineer ............. Line listings .................................................... 5 5 2 

Water Utility Billing clerk ................................. Line listings .................................................... 5 5 1 

Jeffrey M. Zirger, 

Acting Lead, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of Science, Centers for Disease Control and 

Prevention. 

[FR Doc. 2018–27222 Filed 12–14–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–19–18AJJ] 

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 Knowledge, 

Attitudes, and Practices of U.S. Large 

Animal Veterinarians Concerning 

Common Veterinary Infection Control 

Measures When Working with Animal 

Obstetric Cases 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 July 20, 

2018 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 


amozie on DSK3GDR082PROD with NOTICES1