Federal Register / Vol. 86, No. 43 / Monday, March 8, 2021 / Notices 13391 

operators with information to notify and 

contact individuals and further 

investigate this exposure by contacting 

others who may have been potentially 

exposed to disease. However, there 

currently is no standardized tool or form 

to collect pertinent information 

regarding the outcome of such 

investigations. To address the need to 

inform CDC of additional actions that 

may be needed to further protect public 

health based on the outcome of the 

contact investigations, CDC has 

developed forms to assist health 

departments and maritime conveyance 

operators in reporting back to CDC. The 

forms are specific to the nature of the 

investigation; Tuberculosis (TB), 

Measles, and Rubella, or the General 

form to for other diseases of public 

health concern. The purpose of the 

forms is the same: to collect information 

to help CDC quarantine officials to fully 

understand the extent of disease spread 

and transmission during travel and to 

inform the development and or 

refinement of investigative protocols, 

aimed at reducing the spread of 

communicable disease. 

Respondents are state and local health 

departments and maritime conveyance 

operators. Respondents may use these 

standardized forms to submit data 

voluntarily to CDC for each individual 

contacted via a secure means of their 

choice, (e.g., web-based application, fax 

or email). Additional respondents are 

Cruise Ship Medical Staff/Cargo Ship 

Managers and State/local health 

department staff. There is no cost to 

respondents other than their time to 

complete the form and submit the data 

to CDC. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

Total burden 

hours 

Cruise Ship Physicians/Cargo Ship 

Managers.

Clinically Active TB Contact Investigation Outcome Reporting 

Form—Maritime.

15 1 20/60 5 

Cruise Ship Physicians/Cargo Ship 

Managers.

Varicella Investigation Outcome Reporting Form.29 1 20/60 10 

Cruise Ship Physicians/Cargo Ship 

Managers.

Influenza Like Illness Investigation 

Outcome Reporting Form.

45 1 20/60 15 

State/Local public health staff ........... General Contact Investigation Outcome Reporting Form—Air.36,000 1 5/60 3,000 

State/Local public health staff ........... TB Contact Investigation Outcome 

Reporting Form—Air.

100 1 5/60 8 

State/Local public health staff ........... Measles Contact Investigation Outcome Reporting Form—Air.189 1 5/60 16 

State/Local public health staff ........... Rubella Contact Investigation Outcome Reporting Form—Air.38 1 5/60 3 

State/Local public health staff ........... General Contact Investigation Outcome Reporting Form—Land.15 1 5/60 1 

Total ........................................... ........................................................... ........................ ........................ ........................ 3,058 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–04673 Filed 3–5–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60 Day–21–21DJ Docket No. CDC–2021– 

0020] 

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 a 

proposed information collection project 

titled ‘‘American Academy of Pediatrics 

(AAP) Resident Training Program on 

Children with Fetal Alcohol Spectrum 

Disorders (FASD)’’. This project will 

collect data to evaluate the efficacy of a 

newly developed pediatric resident 

training curriculum regarding 

identification, referral and care of 

children with fetal alcohol spectrum 

disorders (FASD) and their families. 

DATES: CDC must receive written 

comments on or before May 7, 2021. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2021– 

0020 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 


jbell on DSKJLSW7X2PROD with NOTICES
13392 Federal Register / Vol. 86, No. 43 / Monday, March 8, 2021 / Notices 

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 

American Academy of Pediatrics 

(AAP) Resident Training on Children 

with Fetal Alcohol Spectrum Disorders 

(FASD)—New—National Center on 

Birth Defects and Developmental 

Disabilities (NCBDDD), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Prenatal exposure to alcohol and 

other teratogens can have serious 

neurodevelopmental impact including 

Fetal Alcohol Spectrum Disorders 

(FASD). FASD is an umbrella term that 

encompasses several, more specific, 

diagnoses. These conditions are 

associated with lifelong physical and 

neurodevelopmental abnormalities, 

including growth problems and prenatal 

brain damage. This brain damage may 

lead to developmental, behavioral and 

neurocognitive impairments. Infants 

with a FASD are rarely recognized at 

birth by hospital staff. Further, at later 

ages, these children may be overlooked 

or misdiagnosed. While there is no cure 

for FASDs, early identification and 

intervention can mitigate adverse 

effects. 

In Bright Futures, the American 

Academy of Pediatrics (AAP) suggest 

routinely obtaining prenatal alcohol 

exposure history for all pediatric 

patients. The AAP also recommends 

developmental monitoring and 

screening for all patients for behavioral 

and neurodevelopmental issues. 

Pediatricians are critical in the process 

of early identification, referral and 

ongoing care of children with FASDs. 

Through regular well-child 

appointments, addressing parental 

concerns, and managing a family’s 

pediatric medical home, pediatricians 

are in a key position to obtain (and 

document) prenatal exposure history to 

alcohol and other drugs. Relatedly, their 

role in monitoring development enables 

them to identify issues early that in turn 

facilitates timely treatment, especially 

early intervention. It is important for 

pediatricians to learn these skills early 

in their clinical training to make them 

routine throughout their clinical 

practice careers. 

To facilitate and strengthen 

pediatricians’ role, with CDC funding, 

the American Academy of Pediatrics 

(AAP) has developed a curriculum and 

program to provide first year pediatric 

resident trainees with strategies, tools 

and resources necessary for; (1) 

obtaining prenatal history of exposure to 

alcohol and other drugs for all their 

patients, (2) recognizing clinical 

manifestation of FASD in pediatric 

primary care settings to expedite 

diagnostic evaluation referrals, and (3) 

caring for affected children and their 

families in the pediatric medical home. 

This program builds upon a pilot effort 

that was approved under GenIC 

Clearance for CDC/ATSDR Formative 

Research and Tool Development title: 

American Academy of Pediatrics 

Resident Training in Developmental 

Continuity Clinics with OMB Control 

Number 0920–1154. 

The curriculum is presented in two 

phases. Phase One is a one-day, inperson, train-the-trainers session for 

attending physicians who oversee 

medical resident training in pediatrics. 

Training will be provided by experts in 

identification, diagnosis and care of 

children with FASD. For Phase Two, the 

trainer attending physicians will 

implement a curriculum of continuing 

medical education activities with their 

first year pediatric residents. The 

curriculum contains both required and 

option activities that residents complete 

with support and facilitation from 

attending physicians. Evaluations are 

conducted only for required activities. It 

is estimated that 10 clinics will 

participate in the project which could 

include up to 10 attending physicians 

and an average of 25 pediatric residents 

per clinic (∼260 respondents/year). 

Participant clinics are selected by a brief 

application to the AAP. All 

participation is voluntary. CDC requests 

approval for an estimated 32 annual 

burden hours. There is no cost to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

Burden per 

response 

(hours) 

Burden in 

hours 

Pediatricians .................. Attending physicians Screening & Diagnosis 

Pretest.

10 1 10/60 2 

Pediatricians .................. Attending physicians Screening & Diagnosis 

Posttest.

10 1 10/60 2 

Pediatricians .................. Attending physicians Treatment Across Lifespan 

Pretest.

10 1 10/60 2 

Pediatricians .................. Attending physicians Treatment Across Lifespan 

Posttest.

10 1 10/60 2 

Pediatricians .................. Attending physicians Overcoming Social Attitudes Pretest.10 1 10/60 2 

Pediatricians .................. Attending physicians Overcoming Social Attitudes Posttest.10 1 10/60 2 


jbell on DSKJLSW7X2PROD with NOTICES
Federal Register / Vol. 86, No. 43 / Monday, March 8, 2021 / Notices 13393 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondents Form name Number of 

respondents 

Number of 

responses 

Burden per 

response 

(hours) 

Burden in 

hours 

Pediatricians .................. Attending physicians Educational Care Pretest .. 10 1 10/60 2 

Pediatricians .................. Attending physicians Educational Care Posttest 10 1 10/60 2 

Pediatricians .................. Attending physicians Training Program Evaluation.10 1 15/60 3 

Pediatricians .................. Resident Overall Effects & Prevalence Video 

Pretest.

25 1 15/60 3 

Pediatricians .................. Resident Overall Effects & Prevalence Video 

Posttest.

25 1 15/60 3 

Pediatricians .................. Resident Overall Program Evaluation ................. 25 1 15/60 3 

Pediatricians .................. Attending physicians Overall Program Evaluation.10 1 20/60 4 

Total ........................ .............................................................................. 175 ........................ ........................ 32 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–04670 Filed 3–5–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60 Day–21–21DI; Docket No. CDC–2021– 

0018] 

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 a 

proposed information collection project 

titled CryptoNet Case Report Form. The 

CryptoNet Case Report Form will be 

used by federal, state, and local public 

health officials responsible for 

conducting interviews with reported 

cases of cryptosporidiosis in their 

jurisdiction in order to systematically 

assess core exposure elements and risk 

factors among cases of 

cryptosporidiosis. 

DATES: CDC must receive written 

comments on or before May 7, 2021. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2021– 

0018 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: 

404–639–7570; 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 

CryptoNet Case Report Form—New— 

National Center for Emerging and 

Zoonotic Infectious Diseases (NCEZID), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

The Waterborne Disease Prevention 

Branch (WDPB) in the Division of 

Foodborne, Waterborne, and 

Environmental Diseases (DFWED) works 

to prevent domestic and global water, 

sanitation, and hygiene (WASH) related 

disease. The WDPB is comprised of four 

teams, including the Domestic WASH 

Epidemiology Team, which focuses on 

the prevention and control of 

waterborne and WASH-related disease 

and outbreaks in the United States. One 

of the diseases included in the team’s 


jbell on DSKJLSW7X2PROD with NOTICES