Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices 7399 

which visit data are collected through 

submission of EHRs with the approved 

2019 sample size, and for subsequent 

survey years when deemed necessary. 

The annualized 2021–2023 NAMCS 

sample size is projected to be 6,000 

office-based physicians and 92 CHCs. 

Questions on the traditional office-base 

physician survey will be modified for 

clarification and to keep current with 

medical practice and terminology. In 

2020 we are also seeking to include the 

potential for experiments involving 

physician incentives for some officebased physicians. In 2021, data 

collection for CHCs will transition from 

manual abstraction to be sent through 

EHRs. A set-up fee will be allotted to 

sampled CHCs to offset the cost of this 

new data collection method. With this 

transition, a new CHC facility interview 

will be implemented and personally 

identifiable information (PII) will be 

collected from both the CHCs, and 

physicians who submit EHR data. For 

both the traditional office-based 

physicians and CHCs, we will continue 

COVID–19 questions in 2021 and for 

subsequent data years where 

information is pertinent. We will also 

begin to conduct methodological work 

to improve upon the survey. Estimated 

annualized burden is 9,272 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs.) 

Total burden 

(in hrs.) 

Office-based Physicians or Staff (Abstraction) ... Physician Induction Interview (2020) .................. 500 1 30/60 250 

Pulling, re-filing medical record forms (FR abstracts) (2020).500 30 1/60 250 

CHC Executive/Medical Directors ....................... CHC Facility Induction Interview (2020) ............. 17 1 30/60 9 

CHC Providers ..................................................... Provider Induction Interview (2020) .................... 52 1 30/60 26 

CHC Provider Staff .............................................. Pulling, re-filing medical record forms (FR abstracts).52 30 1/60 26 

Office-based Physicians (Abstraction) and CHC 

Providers.

Reinterview Study (2020) ................................... 33 1 15/60 8 

Office-based Physicians or Staff (Abstraction) ... Physician Induction Interview (2021–2023) ........ 3,000 1 30/60 1,500 

Pulling, re-filing medical record forms (FR abstracts) (2021–2023).3,000 30 1/60 1,500 

Office-based Physician Staff (EHR Submission) Physician Facility Interview (PFI) (2021–2023) .. 3,000 1 45/60 2,250 

Pulling, re-filing medical record forms (EHR 

Onboarding) (2021–2023).

3,000 1 60/60 3,000 

CHC Staff ............................................................ CHC Facility Interview (2021–2023) ................... 92 1 15/60 23 

Prepare and transmit EHR for Visit Data (quarterly) (2021–2023).92 4 60/60 368 

Office-based Physicians (Abstraction) ................ Reinterview Study (2021–2023) ......................... 250 1 15/60 63 

Total .............................................................. ............................................................................. ........................ ........................ .................... 9,272 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–01691 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–21–20PM] 

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 Oral Health 

Basic Screening Survey for Children 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 July 2, 2020 to obtain 

comments from the public and affected 

agencies. CDC received three 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; 

(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 

Oral Health Basic Screening Survey 

for Children—Existing Collection in use 

without an OMB Control Number— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC). 

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