Federal Register / Vol. 86, No. 24 / Monday, February 8, 2021 / Notices 8645 

HISTORY: 

86 FR 8645, February 8, 2021. 

Terrell Dorn, 

Managing Director, Infrastructure Operations/ 

Chief Agency Privacy Officer Government 

Accountability Office. 

[FR Doc. 2021–02554 Filed 2–4–21; 4:15 pm] 

BILLING CODE 1610–02–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30 Day–21–1054] 

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, ‘‘Drug 

Overdose Response Investigation (DORI) 

Data Collections’’ 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 August 

13,2020 to obtain comments from the 

public and affected agencies. CDC did 

not receive 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 

Drug Overdose Response Investigation 

(DORI) Data Collections (OMB Control 

No. 0920–1054, Exp. 03/31/2021)— 

Extension—National Center for Injury 

Prevention and Control (NCIPC), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

In 2015, CDC received OMB approval 

(OMB Control No. 0920–1054) for this 

Generic clearance for a three-year period 

to collect information to response to 

urgent requests from state and local 

health authorities to provide 

epidemiological information that allows 

for the selection of interventions to curb 

local epidemics of drug overdose. CDC 

seeks OMB approval for an Extension of 

this Generic clearance for a three-year 

period. 

Drug Overdose Response 

Investigations (DORI) are to be 

conducted in response to urgent 

requests from state and local health 

authorities to provide epidemiological 

information that allows for the selection 

of interventions to curb local epidemics 

of drug overdose. Of particular interest 

is response to increasing trends in, or 

changing characteristics of, overdose 

from prescription drugs (with a special 

interest in opioid analgesics such as 

oxycodone or methadone; 

benzodiazepines such as alprazolam) 

and/or illicit drugs (e.g., heroin). CDC’s 

National Center for Injury Prevention 

and Control (NCIPC) is frequently called 

upon to conduct DORIs at the request of 

state or local health authorities seeking 

support to respond to urgent public 

health problems resulting from drug 

use, misuse, addiction, and overdose. 

Such requests are typically, but not 

always, made through the Epi-Aid 

mechanism; in most investigations, 

CDC’s epidemiological response entails 

rapid and flexible collection of data that 

evolves during the investigation period. 

Generic clearance is requested to 

ensure that timely information is 

collected during a DORI, which allows 

NCIPC to maintain critical mission 

function by working with state and local 

health authorities to protect the public’s 

health. During an unanticipated rise in 

nonfatal or fatal drug overdose where 

the substances responsible for the health 

event need to be identified, drivers and 

risk factors are undetermined, and/or 

subgroups at risk need to be identified, 

immediate action by CDC is necessary to 

minimize or prevent public harm. CDC 

must have the ability to rapidly deploy 

data collection tools to understand the 

scope of the problem and determine 

appropriate action. Procedures for each 

investigation, including specific data 

collection plans, depend on the time 

and resources available, number of 

persons involved, and other 

circumstances unique to the urgent 

conditions at hand. Data are collected 

by epidemiologists, psychologists, 

medical professionals, subject matter 

experts, and biostatisticians. 

Data collected during a DORI are used 

to understand sudden increases in drug 

use and misuse associated with fatal 

and nonfatal overdoses, understand the 

drivers and risk factors associated with 

those trends, and identify the groups 

most affected. This allows CDC to 

effectively advise states on actions that 

could be taken to control the local 

epidemic. During a DORI, data are 

collected once, with the rare need for 

follow-up. The estimated annual burden 

hours are 2000, there are no costs to 

respondents other than their time. 


jbell on DSKJLSW7X2PROD with NOTICES
8646 Federal Register / Vol. 86, No. 24 / Monday, February 8, 2021 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Drug Overdose Response Investigation Participants DORI Data Collection Instruments ...... 4,000 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. 2021–02550 Filed 2–5–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–21–20QN] 

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 ‘‘Availability, 

Use, and Public Health Impact of 

Emergency Supply Kits among DisasterAffected Populations’’ 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 August 

28, 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 

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 

Availability, Use, and Public Health 

Impact of Emergency Supply Kits 

among Disaster-Affected Populations— 

New—National Center for 

Environmental Health (NCEH), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

The National Center for 

Environmental Health (NCEH) is 

submitting a New Information 

Collection Request (ICR), for two-year 

approval. NCEH will conduct this crosssectional study among two disasteraffected populations, at one site per 

year. NCEH will select geographic sites 

(e.g., city, town, region) for inclusion in 

the study after a disaster (e.g., hurricane, 

wildfire, flood, tornado) has occurred in 

the area. Parameters for site selection 

include a major or state-level disaster 

declaration for a natural disaster that 

affects a mid- to high-density area (e.g., 

population of 100,000 people) within 

the United States. 

An all-of-society approach to disaster 

risk reduction emphasizes inclusion and 

engagement in preparedness activities. 

A common recommendation is to 

promote household preparedness 

through the preparation of an 

emergency supply kit that can be used 

to shelter-in-place or during evacuation. 

Lack of household preparedness is a 

public health concern, especially in 

medically frail populations, because it 

consumes first responders’ time, taking 

them away from relief and recovery 

efforts, and can easily deplete 

community health resources. The 

Federal Emergency Management Agency 

(FEMA) states that individuals or 

households are prepared for a disaster if 

they have thought about and planned 

for the types of disaster for which they 

are at most risk, have developed a 

family communication and evacuation 

plan in the event of a disaster, and have 

assembled a complete disaster 

(emergency) supply kit. However, the 

prevalence of emergency supply kits 

across households in the United States 

ranges considerably from a communitylevel low of 10% to a regional high of 

68%. This lack and variation of 

emergency supply kits across 

households makes household disaster 

preparedness a public health concern. 

Self-sufficiency (defined as the ability 

to shelter-in-place without needing to 

leave your home or call for outside 

assistance for ∼3 days following a 

disaster) can help reduce the demands 

placed on first responders during 

critical times, which has downstream 

public health impacts. Among persons 

with an existing physical or mental 

health condition at the time of the 

disaster, having an adequate supply of 

prescription and over-the-counter 

medications and medical supplies 

allows people to maintain treatment and 

prevent worsening or exacerbation of 

their existing condition or illness. It also 

can reduce their need for emergency 

medical services following a disaster. 

The FEMA definition of an emergency 

supply kit is one that can sustain each 

member of a household with food, 

water, and medication for up to three 

days. However, there are several 

knowledge gaps and challenges related 

to emergency supply kit use and 

effectiveness, including whether the 

current recommendations are adequate 

or need expansion. We identified the 

following gaps: 


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