[Federal Register Volume 69, Number 216 (Tuesday, November 9, 2004)]
[Notices]
[Pages 64955-64956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-24892]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-04-0012]


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 e-mail 
to <a href="/cdn-cgi/l/email-protection#8ce3e1eeccefe8efa2ebe3fa"><span class="__cf_email__" data-cfemail="600f0d02200304034e070f16">[email protected]</span></a>. 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

    National Nosocomial Infections Surveillance (NNIS) System--
Reinstatement with change--National Center for Infectious Disease 
(NCID), Centers for Disease Control and Prevention (CDC).
    The NNIS system, which was instituted in 1970, is an ongoing 
surveillance system currently involving 345 hospitals that voluntarily 
report nosocomial infections data to CDC, who aggregate the data into a 
national database. The data are collected using surveillance protocols 
developed by CDC for high risk patient groups (ICU, high-risk nursery, 
and surgical patients). Instructional manuals, training of surveillance 
personnel and computer surveillance software are among the support that 
CDC provides without cost to participating hospitals to ensure the 
reporting of accurate and uniform data.
    In the very near future this data collection will be merged with 
two other collections to form the National Healthcare Safety Network 
(NHSN). This network will be a computer-based system. Since this system 
will be phased in over time, CDC will need to continue using the forms 
within this clearance request until the transformation has been 
completed.
    The purpose of the NNIS system is to provide national data on the 
incidence of nosocomial infections and their risk factors, and on 
emerging antibiotic resistance. The data are used to determine: (1) The 
magnitude of various nosocomial infection problems; (2) trends in 
infection rates among patients with similar risks; and (3) changes in 
the epidemiology of nosocomial infections resulting from new medical 
therapies and changing patient risks.
    New to the NNIS system is the monitoring of antibiotic resistance 
and antimicrobial use in groups of patients. Data from the monitoring 
of antibiotic resistance and antimicrobial use in the NNIS system will 
be used to describe the epidemiology of antibiotic resistance and 
understand the role of antimicrobial therapy to the growing problem of 
antibiotic resistance. The NNIS system can also serve as a sentinel 
system for the detection of nosocomial infection outbreaks in the event 
of national distribution of a contaminated medical product or device.
    The respondent burden is not the same in each hospital since the 
hospitals can select from a wide variety of surveillance options. A 
typical hospital will monitor patients for infections in two ICUs and 
surgical site infections following three surgical operations. The 
respondent burden includes the time and cost to: (1) Collect data on 
nosocomial infections in patients in these groups and the denominator 
data to characterize risk factors in the patients who are being 
monitored; (2) to enter the data as well as a surveillance plan into 
the surveillance software; (3) send the data to CDC by electronic 
transmission; and (4) complete a short annual survey and administrative 
forms. The total annualized burden is 66,775 hours.

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                                                                                                      Average
                                                                    Number of       Number of       burden per
                           Form title                              respondents      responses/     response  (in
                                                                                    respondent         hrs.)
----------------------------------------------------------------------------------------------------------------
Hospital Personnel List........................................             297                1           15/60
Annual Participating Institution Survey........................             297                1           45/60
NNIS Infection Worksheet:
    Hospitals with High Risk Nursery...........................             100      240 (20x12)           25/60
    Hospitals without High Risk Nursery........................             197      180 (15x12)           25/60
Adult & Pediatric ICU Monthly Report...........................             235               12               6
High Risk Nursery Surveillance Monthly Report..................             100               12               4
Surgical Patient Surveillance-Operative Procedure Daily Report.             205               12               2
Monthly Surveillance Plan......................................             277               12           25/60
Supplementary Data Collection, Cesarean Patient Report.........              29              240           27/60

[[Page 64956]]

 
Supplementary Data Collection, Craniotomy Patient Report.......               9               58           27/60
Supplementary Data Collection, Spinal Fusion Patient Report....              18               60           27/60
Supplementary Data Collection, Ventricular Shunt Patient.......              10              180           27/60
AUR Surveillance Monthly Report:
    ICP........................................................              30        12 (1x12)               2
    Laboratory Technician......................................              30        60 (5x12)               3
    Pharmacy Technician........................................              30        48 (4x12)               2
AUR Surveillance Contact Information...........................              40                1           10/60
Antimicrobial Prescribing Practices............................              30                1           15/60
----------------------------------------------------------------------------------------------------------------


    Dated: November 3, 2004.
B. Kathy Skipper,
Acting Director, Management Analysis and Services Office, Centers for 
Disease Control and Prevention.
[FR Doc. 04-24892 Filed 11-8-04; 8:45 am]
BILLING CODE 4163-18-P


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