Federal Register / Vol. 74, No. 19 / Friday, January 30, 2009 / Notices 5659 

collected from a sample of 338 

hospitals; 5% of hospitalized patients 

acquired an infection not present at the 

time of admission. Because of the 

substantial resources necessary to 

conduct hospital-wide surveillance in 

an ongoing manner, CDC’s current HAI 

surveillance system, the National 

Healthcare Safety Network (NHSN), 

focuses instead on device-associated 

and procedure-associated infections in a 

variety of patient locations, and does 

not receive data on all types of HAIs to 

make hospital-wide burden estimates. 

The purpose of this data collection is to 

assess the magnitude and types of HAIs 

occurring in all patient populations 

within acute care hospitals in order to 

inform decisions by local and national 

policy makers and hospital infection 

control personnel regarding appropriate 

targets and strategies for HAI 

prevention. Such assessments can be 

obtained in periodic national prevalence 

studies, such as those that have been 

conducted in several European 

countries. 

The proposed survey will be 

conducted in a representative sample of 

500 U.S. acute care hospitals, and will 

require infection control personnel in 

each participating hospital to collect 

surveillance data on CDC-defined HAIs 

on a single day for a sample of eligible 

patients in the participating hospitals. 

CDC will use the data provided to 

estimate the prevalence of HAIs across 

this representative sample of U.S. 

hospitals as well as the distribution of 

infection types and causative organisms. 

CDC will also use this data to promote 

its goal of preventing HAIs. 

The proposed project supports CDC’s 

Strategic Goal of ‘‘Healthy Healthcare 

Settings,’’ specifically the objective to 

‘‘Promote compliance with evidencebased guidelines for preventing, 

identifying, and managing disease in 

healthcare settings.’’ There are no costs 

to respondents, other than their time to 

complete the survey. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Infection Control Practitioners ......................................................................... 500 74 15/60 9,250 

Total .......................................................................................................... ........................ ........................ ........................ 9,250 

Dated: January 22, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–2002 Filed 1–29–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day-09–0544] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an 

e-mail to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

NIOSH Customer Satisfaction 

Survey—Reinstatement—National 

Institute for Occupational Safety and 

Health, (NIOSH) Centers for Disease 

Control and Prevention, (CDC). 

Background and brief description 

The mission of the National Institute 

for Occupational Safety and Health 

(NIOSH) is to promote safety and health 

at work for all people through research 

and prevention. The Occupational 

Safety and Health Act, Public Law 91– 

596 (section 20[a][1]) authorizes the 

National Institute for Occupational 

Safety and Health (NIOSH) to conduct 

research to advance the health and 

safety of workers. NIOSH conducted a 

baseline survey in 2003 to assess 

customer satisfaction with NIOSH 

communication products, services, and 

methods of dissemination [OMB #0920– 

0544 expired 03/31/2003]. The baseline 

survey established an initial benchmark 

for gauging the effectiveness of NIOSH’s 

communication products, outreach 

services, and identified areas for 

improvement. 

NIOSH is conducting a follow-up 

Customer Satisfaction Survey of 

occupational safety and health 

professionals. A mail survey is planned 

with an option that will allow 

respondents to complete the survey 

electronically. The current survey is a 5- 

year follow-up designed to enable 

NIOSH to determine the current level of 

customer satisfaction and identify 

changes that have occurred in the 

intervening years. The purpose of this 

survey is to evaluate the effectiveness of 

NIOSH’s communication and 

dissemination program as a whole in 

serving the broad occupational safety 

and health professional community by 

addressing five questions: 

(1) To what extent are NIOSH 

communication products viewed as 

credible, useful sources of information 

on occupational safety and health 

issues? 

(2) To what extent has NIOSH been 

successful in distributing its 

communication products to its primary 

and traditional audience? 

(3) To what extent, and in what ways, 

have NIOSH communication products 

influenced workplace safety and health 

program policies and practices, or 

resolved other related issues? 

(4) What improvements could be 

made in the nature of NIOSH 

communication products and/or their 

manner of delivery that could enhance 

their use and benefits? 

(5) What is the reach and perceived 

importance of NIOSH outreach 

initiatives? 

The survey will be directed to the 

community of occupational safety and 

health professionals, as this audience 

represents the primary and traditional 

customer base for NIOSH information 

materials. For this purpose four major 

associations identified with 

occupational safety and health matters 

have indicated their willingness to 

partner with NIOSH on this follow-up 

survey, as they did on the baseline. 

These are the American Industrial 

Hygiene Association (AIHA), the 

American College of Occupational and 

Environmental Medicine (ACOEM), the 

American Association of Occupational 

mstockstill on PROD1PC66 with NOTICES

5660 Federal Register / Vol. 74, No. 19 / Friday, January 30, 2009 / Notices 

Health Nurses (AAOHN), and the 

American Society of Safety Engineers 

(ASSE). There is no cost to respondents. 

The estimated annualized burden hours 

are 205. 

ESTIMATED ANNUALIZED BURDEN HOURS: 

Form name Type of respondent Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

NIOSH Customer Satisfaction Survey .................. Respondents familiar with NIOSH ....................... 570 1 20/60 

Respondents not familiar with NIOSH ................. 150 1 6/60 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–2005 Filed 1–29–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day-09–0234] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

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

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call the CDC Reports 

Clearance Officer at 404–639–5960 or 

send comments to CDC/ATSDR 

Assistant Reports Clearance Officer, 

1600 Clifton Road, MS–D74, Atlanta, 

GA 30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited 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) 

ways to enhance 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. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

National Ambulatory Medical Care 

Survey (NAMCS) (OMB No. 0920– 

0234)—Revision—National Center for 

Health Statistics (NCHS), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall collect 

statistics on ‘‘utilization of health care’’ 

in the United States. NAMCS was 

conducted annually from 1973 to 1981, 

again in 1985, and resumed as an 

annual survey in 1989. The purpose of 

NAMCS is to meet the needs and 

demands for statistical information 

about the provision of ambulatory 

medical care services in the United 

States. NCHS is seeking OMB approval 

to extend this survey for three years. 

Ambulatory services are rendered in a 

wide variety of settings, including 

physician offices and hospital 

outpatient and emergency departments. 

The NAMCS target universe consists of 

all office visits made by ambulatory 

patients to non-Federal office-based 

physicians (excluding those in the 

specialties of anesthesiology, radiology, 

and pathology) who are engaged in 

direct patient care. 

In 2006, physicians and mid-level 

providers (i.e., nurse practitioners, 

physician assistants, and nurse 

midwives) practicing in community 

health centers (CHCs) were added to the 

NAMCS sample, and these data will 

continue to be collected. To 

complement NAMCS data, NCHS 

initiated the National Hospital 

Ambulatory Medical Care Survey 

(NHAMCS, OMB No. 0920–0278) in 

1992 to provide data concerning patient 

visits to hospital outpatient and 

emergency departments. NAMCS and 

NHAMCS are the principal sources of 

data on ambulatory care provided in the 

United States. 

NAMCS provides a range of baseline 

data on the characteristics of the users 

and providers of ambulatory medical 

care. Data collected include the patients’ 

demographic characteristics, reason(s) 

for visit, provider diagnoses, diagnostic 

services, medications, and visit 

disposition. In addition, information on 

cervical cancer screening practices in 

physician offices will continue to be 

collected through the Cervical Cancer 

Screening Supplement (CCSS), which 

was added in 2006. It will allow CDC’s 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP) to evaluate cervical cancer 

screening methods and the use of 

Human Papillomavirus DNA tests. 

A supplemental mail survey on the 

adoption and use of electronic medical 

records (EMRs) in physician offices was 

added to NAMCS in 2008, and will 

continue. These data were requested by 

the Office of the National Coordinator 

for Health Information Technology 

(ONC), Department of Health and 

Human Services, to measure progress 

toward goals for EMR adoption. The 

mail survey will collect information on 

characteristics of physician practices 

and the capabilities of EMRs used in 

those practices. 

In 2009, NAMCS will include an 

additional sample of 70 physicians to 

pretest additional questionnaire items 

on laboratory values. These new items 

were requested by the Division of Heart 

Disease and Stroke Prevention within 

NCCDPHP to better understand the 

extent to which ambulatory health care 

providers identify and control abnormal 

values before and after cardiovascular 

disease. 

Users of NAMCS data include, but are 

not limited to, Congressional offices, 

Federal agencies, state and local 

governments, schools of public health, 

colleges and universities, private 

industry, nonprofit foundations, 

professional associations, clinicians, 

researchers, administrators, and health 

planners. 

There is no cost to respondents other 

than their time to participate. 

mstockstill on PROD1PC66 with NOTICES