Federal Register / Vol. 84, No. 19 / Tuesday, January 29, 2019 / Notices 455 

searching the Docket ID number ED– 

2019–ICCD–0005. Comments submitted 

in response to this notice should be 

submitted electronically through the 

Federal eRulemaking Portal at http://

www.regulations.gov by selecting the 

Docket ID number or via postal mail, 

commercial delivery, or hand delivery. 

If the regulations.gov site is not 

available to the public for any reason, 

ED will temporarily accept comments at 

ICDocketMgr@ed.gov. Please include the 

docket ID number and the title of the 

information collection request when 

requesting documents or submitting 

comments. Please note that comments 

submitted by fax or email and those 

submitted after the comment period will 

not be accepted. Written requests for 

information or comments submitted by 

postal mail or delivery should be 

addressed to the Director of the 

Information Collection Clearance 

Division, U.S. Department of Education, 

550 12th Street SW, PCP, Room 9089, 

Washington, DC 20202–0023. 

FOR FURTHER INFORMATION CONTACT: For 

specific questions related to collection 

activities, please contact Yumiko 

Sekino, 202–374–0936. 

SUPPLEMENTARY INFORMATION: The 

Department of Education (ED), in 

accordance with the Paperwork 

Reduction Act of 1995 (PRA) (44 U.S.C. 

3506(c)(2)(A)), provides the general 

public and Federal agencies with an 

opportunity to comment on proposed, 

revised, and continuing collections of 

information. This helps the Department 

assess the impact of its information 

collection requirements and minimize 

the public’s reporting burden. It also 

helps the public understand the 

Department’s information collection 

requirements and provide the requested 

data in the desired format. ED is 

soliciting comments on the proposed 

information collection request (ICR) that 

is described below. The Department of 

Education is especially interested in 

public comment addressing the 

following issues: (1) Is this collection 

necessary to the proper functions of the 

Department; (2) will this information be 

processed and used in a timely manner; 

(3) is the estimate of burden accurate; 

(4) how might the Department enhance 

the quality, utility, and clarity of the 

information to be collected; and (5) how 

might the Department minimize the 

burden of this collection on the 

respondents, including through the use 

of information technology. Please note 

that written comments received in 

response to this notice will be 

considered public records. 

Title of Collection: Evaluation of 

Preschool Special Education Practices 

Efficacy Study. 

OMB Control Number: 1850–0916. 

Type of Review: A reinstatement of a 

previously approved information 

collection. 

Respondents/Affected Public: State, 

Local, and Tribal Governments. 

Total Estimated Number of Annual 

Responses: 1,739. 

Total Estimated Number of Annual 

Burden Hours: 455. 

Abstract: This package requests 

clearance for data collection activities to 

support an efficacy study of an 

instructional framework designed to 

address the needs of all preschool 

children in inclusive classrooms. The 

efficacy study is part of the Evaluation 

of Preschool Special Education Practices 

(EPSEP), which is assessing the 

feasibility of a large-scale effectiveness 

study of an intervention for preschool 

children in inclusive classrooms. The 

main objective of the efficacy study is to 

test whether the Instructionally 

Enhanced Pyramid Model (IEPM) can be 

implemented with fidelity in inclusive 

preschool classrooms. IEPM is 

comprised of three established 

individual interventions for children 

with disabilities integrated together into 

a single comprehensive intervention for 

use with all children in inclusive 

preschool classrooms. The secondary 

objective is to provide initial evidence 

about IEPM’s impacts on classroom and 

child outcomes. This efficacy study 

provides an important test of whether 

strategies for delivering content in a 

manner that meets the needs of each 

child with a disability can be integrated 

with an existing framework of teaching 

practices for inclusive preschool classes, 

thus helping all children participate and 

make progress in the general preschool 

curriculum. These strategies, which are 

called targeted instructional supports, 

have been tested separately but have not 

been tested as part of this framework. 

The efficacy study will include data 

collection to conduct both 

implementation and impact analyses. 

The implementation analysis will use 

observation data to describe the fidelity 

of training and implementation. It also 

will draw on coaching logs and coach 

interviews to describe program 

implementation. In addition, responses 

to a teacher survey and teacher focus 

groups will provide information on 

teachers’ backgrounds, professional 

experiences, and perspectives on IEPM 

implementation. The impact analysis 

will use data from observations of 

classroom inclusion quality and 

engagement, a child observation, a 

direct child assessment, and teacher 

reports on child outcomes. The 

implementation and impact analyses 

also will use district administrative 

records to offer additional contextual 

and background information on the 

preschool program, its teachers, and 

enrolled children. These various data 

collection activities will be carried out 

between summer 2019 and summer 

2021 during the two years that schools 

in the intervention group will 

implement IEPM (2019–2020 and 2020– 

2021 school years). 

Dated: January 23, 2019. 

Stephanie Valentine, 

Acting Director, Information Collection 

Clearance Program, Information Management 

Branch, Office of the Chief Information 

Officer. 

[FR Doc. 2019–00255 Filed 1–28–19; 8:45 am] 

BILLING CODE 4000–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–19–0212] 

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 National 

Hospital Care Survey 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 

September 13, 2018 to obtain comments 

from the public and affected agencies. 

CDC received four 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; 

456 Federal Register / Vol. 84, No. 19 / Tuesday, January 29, 2019 / Notices 

(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 

National Hospital Care Survey (OMB 

Control No. 0920–0212, Exp. 01/31/ 

2019)—Revision—National Center for 

Health Statistics (NCHS), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall collect 

statistics on the extent and nature of 

illness and disability of the population 

of the United States. This three-year 

clearance request for NHCS includes the 

collection of all inpatient and 

ambulatory Uniform Bill–04 (UB–04) 

claims data or electronic health record 

(EHR) data as well as the collection of 

hospital-level information via a 

questionnaire from a sample of 598 

hospitals. 

The NHCS collects data on patient 

care in hospital-based settings to 

describe patterns of health care delivery 

and utilization in the United States. 

NHCS hospital-based settings include 

inpatient, emergency department (ED), 

and outpatient department (OPD). The 

survey will provide hospital utilization 

statistics for the Nation. In addition, the 

NHCS will also be able to monitor 

national trends in substance use-related 

ED visits including opioid visits. 

NHCS consists of a nationally 

representative sample of 598 hospitals. 

These hospitals are currently being 

recruited, and participating hospitals 

are submitting all of their inpatient and 

ambulatory care patient data in the form 

of electronic UB–04 administrative 

claims or EHR data. Currently, hospitallevel data are collected through a 

questionnaire administered via a web 

portal. 

This revision seeks approval to 

continue voluntary recruitment of 

hospitals in the sample for the NHCS; 

continue the collection of hospital-level 

data through an initial intake 

questionnaire and an Annual Hospital 

Interview for all sampled hospitals; 

continue the collection of electronic 

data on inpatient discharges as well as 

ED and OPD visits through the 

collection of EHR data, UB–04 claims, 

or a state file; continue collection of 

substance-involved ED visit data 

through the ED component; eliminate 

medical record abstraction of a sample 

of ED and OPD visits as part of the 

design of the survey; and postpone 

frame development for free standing 

ambulatory care facilities. 

NHCS collects data items at the 

hospital, patient, inpatient discharge, 

and visit levels. Hospital-level data 

items include ownership, number of 

staffed beds, hospital service type, and 

EHR adoption. Patient-level data items 

are collected from electronic data and 

include basic demographic information, 

personal identifiers, name, address, 

social security number (if available), 

and medical record number (if 

available). Discharge-level data are 

collected through the UB–04 claims or 

EHR data and include admission and 

discharge dates, diagnoses, diagnostic 

services, and surgical and non-surgical 

procedures. Visit-level data are 

collected through EHR data and include 

reason for visit, diagnosis, procedures, 

medications, substances involved, and 

patient disposition. 

NHCS data have distinct advantages. 

Through the collection of personal 

identifiers, NHCS data can be linked to 

outside datasets such as the National 

Death Index (OMB No. 0920–0215, Exp. 

Date 12/31/2019) to calculate postdischarge mortality. Additionally, 

NHCS offers unique opportunities to 

study opioid-involved health outcomes, 

such as repeat hospital encounters for 

opioid use and opioid-related mortality 

rates. 

NHCS users include, but are not 

limited to, CDC, Congressional Research 

Office, Office of the Assistant Secretary 

for Planning and Evaluation (ASPE), 

National Institutes of Health, U.S. Food 

and Drug Administration (FDA), 

American Health Information 

Management Association (AHIMA), 

Centers for Medicare & Medicaid 

Services (CMS), Substance Abuse and 

Mental Health Services Administration 

(SAMHSA), Bureau of the Census, 

Office of National Drug Control Policy, 

state and local governments, and 

nonprofit organizations. Other users of 

these data include universities, research 

organizations, many in the private 

sector, foundations, and a variety of 

users in the media. 

Data collected through NHCS are 

essential for evaluating the health status 

of the population, for the planning of 

programs and policy to improve health 

care delivery systems of the Nation, for 

studying morbidity trends, and for 

research activities in the health field. 

Historically, data have been used 

extensively in the development and 

monitoring of goals for the Year 2000, 

2010, and 2020 Healthy People 

Objectives. There is no cost to 

respondents other than their time to 

participate. The total annualized burden 

is 7,080 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Hospital Director of Health Information Management (DHIM) or Director of Health Information Technology (DHIT).Initial Hospital Intake Questionnaire .............. 150 1 1 

Hospital Chief Executive Officer (CEO)/Chief 

Financial Officer (CFO).

Recruitment Survey Presentation .................. 150 1 1 

Hospital DHIM or DHIT ................................... Prepare and transmit UB–04 or State File for 

Inpatient and Ambulatory.

399 12 1 

Hospital DHIM or DHIT ................................... Prepare and transmit EHR for Inpatient and 

Ambulatory.

199 4 1 

Federal Register / Vol. 84, No. 19 / Tuesday, January 29, 2019 / Notices 457 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Hospital CEO/CFO .......................................... Annual Hospital Interview .............................. 598 1 2 

Jeffrey M. Zirger, 

Acting Lead, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of Science, Centers for Disease Control and 

Prevention. 

[FR Doc. 2019–00214 Filed 1–28–19; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–19–1170; Docket No. CDC–2018– 

0113] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC), as part of 

its continuing effort to reduce public 

burden and maximize the utility of 

government information, invites the 

general public and other Federal 

agencies the opportunity to comment on 

a proposed and/or continuing 

information collection, as required by 

the Paperwork Reduction Act of 1995. 

This notice invites comment on the data 

collection project titled ‘‘Canine 

leptospirosis surveillance in Puerto 

Rico.’’ This surveillance project aims to 

characterize the epidemiology of canine 

leptospirosis, assess the applicability of 

canine Leptospira vaccines used in 

Puerto Rico, and determine potential 

rodent, livestock, and wildlife reservoirs 

for leptospirosis. Findings from the 

study will be used to develop 

recommendations for the prevention of 

leptospirosis in dogs, focus human 

surveillance efforts, and guide further 

investigations on leptospirosis in Puerto 

Rico. 

DATES: CDC must receive written 

comments on or before April 1, 2019. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0113 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Jeffrey M. Zirger, Information 

Collection Review Office, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, MS–D74, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. CDC will post, without 

change, all relevant comments to 

Regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(regulations.gov) or by U.S. mail to the 

address listed above. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, contact Jeffrey M. Zirger, 

Information Collection Review Office, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, MS– 

D74, Atlanta, Georgia 30329; phone: 

404–639–7570; Email: omb@cdc.gov. 

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. 

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 the agency, including 

whether the information will have 

practical utility; 

2. Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

3. 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 through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

5. Assess information collection costs. 

Proposed Project 

Canine Leptospirosis Surveillance in 

Puerto Rico (OMB Control No. 0920– 

1170 Exp. Date 03/31/2019)— 

Revision—National Center for Emerging 

and Zoonotic Infectious Diseases 

(NCEZID), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The Centers for Disease Control and 

Prevention (CDC) Bacterial Special 

Pathogens Branch (BSPB) requests for 

approval of revisions to existing data 

collection tools used in active 

surveillance for canine leptospirosis in 

Puerto Rico. The methods for data 

collection have not changed. 

Active surveillance allows for the 

collection of prospective data on acute 

cases to determine the incidence and 

distribution of leptospirosis in dogs, 

assess risk factors for infection, 

characterize circulating Leptospira 

serovars and species, assess 

applicability of vaccines currently in 

use based on serovar determination, and 

assess rodent, livestock, and wildlife 

reservoirs of leptospirosis based on 

infecting serovars found in dogs. 

Findings from this study will aid in the 

development of evidence-based, 

targeted interventions for the prevention 

of canine leptospirosis, be used to focus 

human leptospirosis surveillance 

efforts, and guide future investigations 

on leptospirosis in humans and animals 

in Puerto Rico. 

The information collection for which 

approval sought is in accordance with 

BSPB’s mission to prevent illness, 

disability, or death caused by bacterial 

zoonotic diseases through surveillance, 

epidemic investigations, epidemiologic 

and laboratory research, training and