7400 Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices 

Background and Brief Description 

Dental caries (tooth decay) is one of 

the most common chronic diseases 

among children in the United States and 

can lead to pain, infection, and 

diminished quality of life throughout 

the lifespan. Dental sealants are a costeffective measure to prevent caries but 

remain underutilized. 

To address states’ critical need for 

state-level oral health surveillance data 

on dental caries and sealants, the 

Association of State and Territorial 

Dental Directors (ASTDD) developed 

and released an oral health screening 

survey protocol referred to as the Basic 

Screening Survey (BSS) in 1999 in 

collaboration with the Ohio Department 

of Health and with technical assistance 

from the CDC’s Division of Oral Health. 

BSS is a non-invasive visual 

observation of the mouth performed by 

trained screeners including dental and 

non-dental health professionals (e.g., 

dentists, hygienists, school nurses). The 

BSS data collection is not duplicative of 

any other federal collection. Though the 

National Health and Nutrition 

Examination Survey (NHANES) collects 

national data on oral health status 

including dental caries and sealants 

based on clinical examination, it is not 

designed to provide state-level data. 

BSS is designed to be easy to perform 

while being consistent and aligned with 

the oral health Healthy People 

objectives, which are based on NHANES 

measures. BSS is the only data source 

that provides state-representative data 

on oral health status based on clinical 

examination. BSS is also used to 

monitor state progress toward key 

national oral health objectives. 

The BSS is a state-tailored survey 

administered and conducted by 

individual states. CDC has supported 

some of the 50 states to build and 

maintain their oral health surveillance 

system and ASTDD to provide technical 

assistance to states through state and 

partner cooperative agreements since 

2001. Conducting BSS for third graders 

is a key component of that support. 

The target populations include school 

children in grades K–3 and children 

enrolled in Head Start in 50 states and 

Washington, DC. ASTDD and CDC 

recommend that states conduct BSS at 

minimum for third graders at least once 

every five years. Individual states 

determine how often to conduct BSS 

and which grade or grades to target 

based on their program needs and 

available resources. Forty-seven states 

have conducted BSS for children, and 

all 47 conducted Third Grade BSS. 

Thirty-two states also have conducted 

BSS in one or more other grades (K–2) 

or in Head Start Programs. CDC 

estimates that approximately 34 states, 

including 20 states currently funded by 

CDC, will conduct one BSS, at least for 

third grade, during the period for which 

this approval is being sought. 

State health departments administer 

the survey by determining probability 

samples, arranging logistics with 

selected schools or Head Start sites, 

gaining consent, obtaining demographic 

data, training screeners, conducting the 

oral health screening at schools or Head 

Start sites. Screeners record four data 

points either electronically or on a 

paper form: (1) Presence of treated 

caries, (2) presence of untreated tooth 

decay, (3) urgency of need for treatment, 

and (4) presence of dental sealants on at 

least one permanent molar tooth. 

State programs enter, clean and 

analyze the data; de-identify it; and 

respond to ASTDD’s annual email 

request for state-aggregated prevalence 

of dental caries and sealants. ASTDD 

reviews the data to ensure that both 

survey design and data meet specific 

criteria before sending it to CDC for 

publication on the CDC’s public-facing 

Oral Health Data website (www.cdc.gov/ 

oralhealthdata). 

BSS for children serves as a key state 

oral health surveillance data source and 

facilitates state capacity to (1) monitor 

children’s oral health status, trends, and 

disparities, and compare with other 

states; (2) inform planning, 

implementation and evaluation of 

effective oral health programs and 

policies; (3) measure state progress 

toward Healthy People objectives; and 

(4) educate the public and policy 

makers regarding cross-cutting public 

health programs. CDC also uses the data 

to evaluate performance of CDC oral 

health funding recipients. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Child ................................................. Screening form .............................................................. 150,370 1 5/60 

Parent/caretaker ............................... Consent ......................................................................... 150,370 1 1/60 

Screener ........................................... Screening form .............................................................. 301 1 666/60 

School/site ........................................ Participation form .......................................................... 2,890 1 68/60 

State Official ..................................... Data Submission form .................................................. 34 1 32,742/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–01912 Filed 1–27–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–21–1243] 

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 ‘‘Rapid 

Response Suicide Investigation Data 

Collection’’ 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 October 

13,2020 to obtain comments from the 

public and affected agencies. CDC 

received one comment 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 

Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices 7401 

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. 

Comments and recommendations for the 

proposed information collection should 

be sent within 30 days of publication of 

this notice to www.reginfo.gov/public/ 

do/PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 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 

Rapid Response Suicide Investigation 

Data Collection (OMB Control No. 

0920–1243, Exp. 09/30/2021)— 

Extension—National Center for Injury 

Prevention and Control (NCIPC), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

CDC is frequently called upon to 

respond to urgent requests from one or 

more external partners (e.g., local, state, 

territory, and tribal health authorities; 

other federal agencies; local and state 

leaders; schools; or other partner 

organizations) to conduct investigations 

of suicide. Supporting rapid 

investigations to inform the 

implementation of effective suicide 

prevention strategies is one of the most 

important ways CDC can serve to 

protect and promote the health of the 

public. 

Rapid Response Suicide Investigation 

Data Collections are specifically 

designed to inform the implementation 

of prevention strategies in a state, 

county, community, or vulnerable 

population where a possible suicide 

cluster or increasing trend has been 

observed. This generic clearance will 

not be used to conduct research studies 

or to collect data designed to draw 

conclusions about the United States or 

areas beyond the defined geographic 

location or vulnerable population that is 

the focus of the investigation. CDC in 

collaboration with external partners 

(e.g., local, state, territory, and tribal 

health authorities; other federal 

agencies; local and state leaders; 

schools; or other partner organizations) 

will identify the respondent universe for 

each Rapid Response Suicide 

Investigation Data Collection. The 

respondent universe will be determined 

based on the information needed to 

understand potential suicide clusters, 

significant increases in suicidal 

behavior and suicide, risk and 

protective factors, and vulnerable 

populations in order to inform the 

implementation of suicide prevention 

strategies. When the goal is 

generalizability, CDC will submit the 

sampling methods to OMB as part of the 

GenIC package. The estimated annual 

burden hours are 1,000. 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) 

Rapid Response Suicide Investigation Data Collection 

Participants.

Rapid Response Suicide Investigation Protocol.2,000 1 30/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–01917 Filed 1–27–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10332] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and the use