[Federal Register Volume 83, Number 245 (Friday, December 21, 2018)]
[Notices]
[Pages 65754-65756]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-27594]


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NATIONAL AERONAUTICS AND SPACE ADMINISTRATION

[18-100]


Notice of Information Collection

SUMMARY: The Office of Chief Health and Medical Officer (OCHMO), within 
the National Aeronautics and Space Administration (NASA) as part of its 
continuing effort to reduce public burden and maximize the utility of 
government information, provides the general public and other Federal 
agencies the opportunity to comment on an information collection 
project, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on an information collection project titled, 
``Electronic Medical Record for Implementation of TREAT Astronaut 
Act.'' The TREAT Astronaut Act is subsection 441 within the National 
Aeronautics and Space Administration Transition Authorization Act of 
2017 (115th Congress, https://www.congress.gov/115/plaws/publ10/PLAW-115publ10.pdf).
    The goal is to maintain digital medical records of routine health 
care, emergency treatment, and scheduled examinations for active or 
retired astronauts in order to develop a knowledge base and address 
gaps in services in support of medical monitoring, diagnosis and 
treatment of conditions associated with human space flight as stated in 
Public Law 115-10.

[[Page 65755]]


DATES: All comments should be submitted within 60 calendar days from 
the date of this publication.

ADDRESSES: You may submit comments by any of the following methods:
    <bullet> Federal eRulemaking Portal: http://www.Regulations.gov. 
Follow the instructions on-line for submitting comments.
    <bullet> Mail: Gatrie Johnson, National Aeronautics and Space 
Administration, 300 E Street SW, Washington, DC 20546-0001.
    Instructions: All submissions received must include the agency 
name. NASA will post, without change, all relevant comments to 
Regulations.gov.

FOR FURTHER INFORMATION CONTACT: To request additional information or 
to obtain a copy of the information collection plan and instruments, 
contact Gatrie Johnson, National Aeronautics and Space Administration, 
300 E Street SW, Washington, DC 20546-0001.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(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. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.

I. Abstract

    The project includes standard use of Electronic Medical Records 
(EMR) under NASA 10 HIMS regulations at Johnson Space Center (JSC) 
Occupational Health Branch (OHB) by authorized healthcare providers 
assigned to, employed by, contracted to, or under partnership agreement 
with the JSC, OHB. This EMR will be used in support of the TREAT 
Astronaut Act to generate medical records of medical care, diagnosis, 
treatment, surveillance examinations (e.g., flight certification, 
special purpose and health maintenance), and exposure records (e.g., 
hazardous materials and ionizing radiation).

Background and Brief Description

    Management and utilization of the EMR at JSC, OHB clinics will be 
carried out in support of the TREAT Astronaut Act. The approved Public 
Law 115-10 states:
    This law authorizes the National Aeronautics and Space 
Administration (NASA) to provide for:
    <bullet> The medical monitoring and diagnosis of a former United 
States government astronaut or a former payload specialist for 
conditions that the Administrator considers potentially associated with 
human space flight; and
    <bullet> the treatment of a former United States government 
astronaut or a former payload specialist for conditions that the 
Administrator considers associated with human space flight, including 
scientific and medical tests for psychological and medical conditions.
    In order to implement the necessary supportive clinical services, 
accurate digital medical records will be established in the EMR for 
each visit to the OHB clinics. The legal medical record is the 
documentation of health care services provided to an individual; it is 
used for clinical decision making, following accurate recording of 
observations, actions and analysis of diagnostic tests. The legal 
medical record in this instance is digital recorded data collected and 
used for providing healthcare at the OHB Clinics. Additionally, the 
medical record is used as a tool for evaluating the adequacy, 
appropriateness and quality of care.
    The OHB clinics at JSC will create, maintain and securely archive 
digital medical records and physical examination records of Astronauts 
and payload specialists. Such records shall contain standard clinical 
information resulting from physical examinations, laboratory and other 
relevant diagnostic tests, and medical history surveys; screening 
examination results; immunization records; administration of 
medications prescribed by private/personal or NASA flight surgeon 
physicians; consultation records; and hazardous exposure as well as 
other health hazard/abatement data.
    NASA collects, archives, and secures information from individuals 
visiting the OHB clinics requiring routine medical examination in 
compliance with the following regulations:
    <bullet> 2015 Joint Commission (JC) Standards for Ambulatory Care 
IM.01.01.01, IM.02.01.03, IM.02.02.01, IM.02.02.03
    <bullet> NASA Procedural Requirements, NPR 1800.1C.
    <bullet> NASA Records Retention Schedules NRRS 1441.1
    <bullet> 5 U.S.C. 552a, Privacy Act, 1974
    <bullet> 42 U.S.C. 2472; 44 U.S.C. 3101; Public Law 92-255
    <bullet> NIST SP 800-53 revision 4, Recommended Security Controls 
for Federal Information Systems
    <bullet> NIST SP 800-53A, Techniques and Procedures for Verifying 
the Effectiveness of Security Controls in Federal Information Systems
    <bullet> NPR 2810.1, Security of Information Technology

II. Method of Collection

    Electronic and paper.

III. Data

    Title: Electronic Medical Record for Implementation of TREAT 
Astronaut Act. (Pub. L. 115-10).
    OMB Number: 2700-xxxx.
    Type of Review: New Clearance.
    Affected Public: Astronauts and payload specialists.
    Average Expected Annual Number of Activities: 36,840.
    Average Number of Respondents per Activity: 36,840.
    Annual Responses: 36,840.
    Frequency of Responses: 1.
    Average Minutes per Response: 0.5 hours.
    Burden Hours: 18,420.

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                                                     Number of       Number of
                                     Number of     responses per       total       Response time    Respondent
                                    respondents     respondent       responses                     burden hours
----------------------------------------------------------------------------------------------------------------
                            Burden Calculation--Estimation of Respondent Burden Hours
----------------------------------------------------------------------------------------------------------------
Survey 1........................          36,840               1          36,840            0.50          18,420
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[[Page 65756]]


 
                                     Number of
                                       total       Response time    Respondent     Labor burden     Total labor
                                     responses                      hourly wage    per response       burden
----------------------------------------------------------------------------------------------------------------
                               Burden Calculation--Labor Cost of Respondent Burden
----------------------------------------------------------------------------------------------------------------
Survey 1........................          36,840            0.50            25.9           12.95         47,7078
----------------------------------------------------------------------------------------------------------------

IV. Requests for Comments

    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of NASA, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of NASA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Ways to enhance the quality, utility, and clarity of the 
information to be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including automated, electronic collection 
techniques or other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the request for OMB approval of this information 
collection. They will also become a matter of public record.

Gatrie Johnson,
NASA PRA Clearance Officer.
[FR Doc. 2018-27594 Filed 12-20-18; 8:45 am]
BILLING CODE 7510-13-P