Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices 78133 

EBI implementation; additional factors 

that affect EBI implementation over 

time; and the effect of COVID–19 on 

CRCCP implementation at the clinic 

level. 

The new Quarterly Program Update 

survey will collect standardized 

awardee-level information on aspects of 

program management, including (1) 

respondent information, (2) award 

spending, (3) staff vacancies, (4) 

program successes and challenges, (5) 

TA needs, and (6) COVID–19. This 

information collection will provide CDC 

staff rapid reporting of programmatic 

information to inform their efforts to 

provide awardees with tailored TA. 

Redesigned data elements will enable 

CDC to better gauge progress in meeting 

CRCCP program goals and monitor 

implementation activities, evaluate 

outcomes, and identify awardee TA 

needs. In addition, data collected will 

inform program improvement and help 

identify successful activities that need 

to be maintained, replicated, or 

expanded. 

OMB approval is requested for three 

years. The number of awardees will 

increase from 30 to 35 awardees, and 

the number of clinic partners is 

expected to increase from 12 to 24 per 

awardee. Therefore, the total estimated 

annualized burden hours have increased 

from 204 to 760 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hr) 

CRCCP Awardees ........................ CRCCP Annual Awardee Survey ..................................... 35 1 15/60 

CRCCP Clinic-level Data Collection Instrument .............. 35 24 50/60 

CRCCP Quarterly Program Update ................................. 35 4 22/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2020–26631 Filed 12–2–20; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–21–1108; Docket No. CDC–2020– 

0119] 

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 

existing information collection project 

titled Paul Coverdell National Acute 

Stroke Program (PCNASP) reporting 

system, which was established to 

improve quality of care for acute stroke 

patients from onset of signs and 

symptoms through hospital care and 

rehabilitation and recovery. 

DATES: CDC must receive written 

comments on or before February 1, 

2021. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2020– 

0119 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: 

404–639–7118; 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 

Paul Coverdell National Acute Stroke 

Program (PCNASP) (OMB Control No. 

0920–1108, Exp. 09/30/2022)— 

Revision—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 


khammond on DSKJM1Z7X2PROD with NOTICES
78134 Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices 

Background and Brief Description 

Stroke is the fifth leading cause of 

death in the United States and results in 

approximately 145,000 deaths per year. 

Additionally, approximately 800,000 

stroke events are reported each year, 

including approximately 250,000 

recurrent strokes. However, many 

strokes are preventable, or patient 

outcomes post-stroke can be improved 

through coordinated care that begins at 

stroke onset and is delivered in a timely 

manner. 

Stroke outcomes depend upon the 

rapid recognition of signs and 

symptoms of stroke, prompt transport to 

a treatment facility, and early 

rehabilitation. Improving outcomes 

requires a coordinated systems 

approach involving pre-hospital care, 

emergency department and hospital 

care, post-stroke rehabilitation, 

prevention of complications, and 

ongoing secondary prevention. Each 

care setting has unique opportunities for 

improving the quality of care provided 

and access to available professional and 

clinical care at the local level within a 

coordinated state-based system of care. 

In addition, there remains a need to 

identify disparities in stroke care and 

implement stroke interventions, such as 

community education and quality 

improvement activities, focused on 

priority populations. 

Through the Paul Coverdell National 

Acute Stroke Program (PCNASP), CDC 

has been continuously worked to 

measure and improve acute stroke care 

using well-known quality improvement 

strategies coupled with frequent 

evaluation of results. There remains a 

national need to understand best 

practices of stroke systems of care, 

which includes prevention and 

awareness, use of EMS, in-hospital care, 

and rehabilitation and recovery. 

PCNASP awardees work statewide with 

participating hospitals, Emergency 

Medical Services (EMS) agencies, and 

other healthcare partners (e.g., 

community clinical partners) to improve 

quality of care for stroke patients. These 

efforts include implementing strategies 

to close the gap on stroke disparities, 

identifying effective stroke treatment 

centers, building capacity and 

infrastructure to ensure that stroke 

patients are routed to effective treatment 

centers in a timely manner, and 

improving transitions of care from the 

hospital to the next care setting. 

During initial cooperative agreement 

cycles, PCNASP awardees focused on 

improving in-hospital quality of care 

(QoC) with technical assistance 

provided by CDC. Through lessons 

learned during this process and other 

supporting evidence in the field, it has 

become evident that it is also important 

to examine pre- and post-hospital 

transitions of care to link the entire 

continuum of stroke care when 

improving QoC for stroke patients. 

The PCNASP’s current five-year 

cooperative agreement started on July 1, 

2015 and includes nine state health 

department awardees and their selected 

partners (hospitals, EMS agencies, other 

healthcare facilities). This current 

funding period reflects additional 

emphasis on pre-hospital quality of care 

as well as the post-hospital transition of 

care setting from hospital to home or 

other healthcare facility. With technical 

assistance provided by CDC, awardees 

have worked on identifying and using 

data systems to systematically collect 

and report data on all three phases of 

the stroke care continuum and on 

hospital capacity. 

PCNASP currently has OMB approval 

for the collection of pre-hospital (EMS), 

in-hospital, and post-hospital patient 

care data, as well as hospital inventory 

data (OMB Control No. 0920–1108, Exp. 

09/30/2022). CDC plans to request a 

revision of this currently approved 

collection, with an extension of three 

years, reflecting a new Notice of 

Funding Opportunity (NOFO). The new 

PCNASP cooperative agreements will be 

expanded to include 13 awardees, 

which will be awarded on or about July 

1, 2021. 

In-hospital patient care data will 

continue to align with standards set by 

The Joint Commission (TJC) and the 

American Heart Association’s Get With 

The Guidelines (GWTG) program. 

Estimated burden for the collection of 

in-hospital data will increase by a net 

increase of eight hours due to added 

program awardees under the new 

cooperative agreement. The average 

burden per response remains 30 

minutes for awardees, for a total of 26 

hours annually. 

Data collection methods for prehospital care will continue to be 

collected similar to the two current 

methods, depending on awardees’ 

access to data sources. These two 

methods are existing data systems 

currently available to awardees, 

including the AHA’s GWTG and the 

National Emergency Medical Services 

Information System (NEMSIS). CDC has 

worked to reduce the overall number of 

required data elements and identified 

areas of alignment with AHA’s GWTG. 

Total average burden will decrease due 

to the reduction in data elements under 

the new NOFO. Depending on the 

awardees’ access to data sources (GWTG 

or NEMSIS), the average burden per 

response will vary from 30 minutes to 

one hour. Thus, the burden for prehospital data is estimated to decrease 

from 60 to 46 burden hours annually. 

Under scope of the new NOFO, 

patient level quality of care posthospital data will not be collected. Poststroke transitions of care, rehabilitation, 

follow-up, etc. will be assessed in 

alignment with existing CDC 

cooperative agreements. This is an effort 

to better align resources, funding, and 

community efforts already working to 

connect stroke patients with post-acute 

clinical care. As a result, burden for this 

collection and transmission will not be 

included in the overall estimation of 

average burden. 

Primary data collection of hospital 

inventory data will continue to be 

collected to understand the capacity and 

infrastructure of the hospitals that admit 

and treat stroke patients. Each hospital 

will report inventory information to its 

PCNASP awardee annually. The average 

burden per response remains 30 

minutes for hospitals. In addition, each 

PCNASP awardee prepares an annual 

aggregate hospital inventory file for 

transmission to CDC. The average 

burden of reporting hospital inventory 

information for each PCNASP awardee 

remains 8 hours per response. Based on 

current data and expected number of 

awardees under new NOFO, we are 

estimating the number of hospital 

partners per awardee to be 50 hospitals. 

Due to this increase in awardees, the 

estimated number of hospital 

respondents is anticipated to increasing 

from 378 to 650. Thus, there is a net 

increase of 136 hours for hospitals to 

collect and transmit this data. The total 

burden for hospital inventory data is 

increasing from 189 to 325 hours 

annually. 

These requested changes will result in 

a net increase in total average burden 

from 361 to 501 hours. All patient, 

hospital, and EMS provider data that is 

submitted to CDC by PCNASP awardees 

will be de-identified and occur through 

secure data systems. Proposed data 

elements and quality indicators may be 

updated over time to include new or 

revised items based on evolving 

recommendations and standards in the 

field to improve the quality of stroke 

care. 

OMB approval is requested for three 

years. Participation is voluntary and 

there are no costs to respondents other 

than their time. 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 85, No. 233 / Thursday, December 3, 2020 / Notices 78135 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

PCNASP Awardee ............................ Hospital inventory ............................. 13 1 8 104 

In-hospital care data ........................ 13 4 30/60 26 

Pre-hospital care data ...................... 3 4 30/60 6 

10 4 1 40 

PCNASP Hospital Partners .............. Hospital Inventory ............................ 650 1 30/60 325 

Total ........................................... ........................................................... ........................ ........................ ........................ 501 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2020–26632 Filed 12–2–20; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Generic Clearance for 

Financial Reports Used for ACF 

Mandatory Grant Programs (OMB 

#0970–0510) 

AGENCY: Administration for Children 

and Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families (ACF) proposes 

to extend data collection under the 

existing overarching generic clearance 

for Financial Reports used for ACF 

Mandatory Grant Programs (OMB 

#0970–0510). There are no changes to 

the proposed types of information 

collection or uses of data. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of Section 3506(c)(2)(A) of 

the Paperwork Reduction Act of 1995, 

ACF is soliciting public comment on the 

specific aspects of the information 

collection described above. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing infocollection@

acf.hhs.gov. Alternatively, copies can 

also be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: ACF programs need 

detailed financial information from 

recipients that receive federal funds, 

such as grantees, to monitor various 

specialized cost categories within each 

program, to closely manage program 

activities, and to have sufficient 

financial information to enable periodic 

thorough and detailed audits. 

Information collected through the 

Federal Financial Report (Standard 

Form (SF)–425) provides general 

information, but does not provide 

program-specific information that is 

necessary for ACF program office 

decision making. This generic clearance 

allows ACF to collect program-specific 

financial information from mandatory 

grant programs. 

Program offices use the information 

collected under this generic information 

collection to: 

• Monitor program operations and 

prepare technical assistance and 

guidance, as needed. 

• Assist in the computation of the 

grant awards issued to each program’s 

grantees or annual incentive payments 

(Child Support Enforcement Program 

only). 

• Determine that child support 

collections are being properly 

distributed (Child Support Enforcement 

Program only). 

• Produce annual financial and 

statistical reports as may be required by 

Congress and respond to periodic 

detailed inquiries from Congress. 

ACF may require an information 

collection approved under this generic 

from funding recipients in order to 

obtain or retain benefits. 

Following standard OMB 

requirements for a generic information 

collection, ACF will submit a generic 

information collection request for each 

individual data collection activity under 

this generic clearance. Each request will 

include the individual form(s) and 

instructions, and a short overview of the 

proposed purpose and use of the data 

collected. OMB should review requests 

within 10 days of submission. 

Respondents: ACF-funded mandatory 

grant programs. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per 

response 

Annual burden 

hours 

Mandatory Grant Financial Reports ................................................................. 1,000 4 10 40,000 

Estimated Total Annual Burden Hours: 40,000. 

Comments: The Department 

specifically requests comments 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) 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. Consideration will be given 


khammond on DSKJM1Z7X2PROD with NOTICES