46776 Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices 

There is no cost to registrants. The 

total estimated annualized burden hours 

are 750. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Data collection instruments Number of 

respondents 

Number 

responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Persons exposed ............................................ Baseline TAR Questionnaire .......................... 500 1 30/60 

Follow-up TAR questionnaire ......................... 1,500 1 20/60 

Dated: September 3, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–21915 Filed 9–10–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day-09–0212] 

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 Hospital Discharge Survey 

(NHDS) (OMB# 0920–0212 exp. 10/31/ 

2011)—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 the extent and nature of 

illness and disability of the population 

of the United States. This three-year 

clearance request includes the data 

collection for 2010, 2011, and 2012 of 

the redesigned National Hospital 

Discharge Survey. 

The National Hospital Discharge 

Survey (NHDS) has been conducted 

continuously by the National Center for 

Health Statistics, CDC, since 1965. It is 

the principal source of data on inpatient 

utilization of short-stay, non-Federal 

hospitals and is the principal annual 

source of nationally representative 

estimates on the characteristics of 

discharges, lengths of stay, diagnoses, 

surgical and non-surgical procedures, 

and patterns of use of care in hospitals 

in various regions of the country. It is 

the benchmark against which special 

programmatic data sources are 

measured. 

Although the current NHDS is still 

fulfilling its intended functions, it is 

based on concepts from the health care 

delivery system, as well as the hospital 

and patient universes, of previous 

decades. It has become clear that a 

redesign of the NHDS that provides 

greater depth of information is 

necessary. Consequently, 2010 will 

serve as the last year in which the 

current NHDS will be fielded. 

Meanwhile, the redesigned NHDS is 

scheduled to begin in 2010. 

Due to budgetary constraints, the new 

sample of 240 hospitals drawn for the 

redesigned NHDS will be phased in over 

two years. In 2010, data collection will 

begin in 80 sampled hospitals. Data 

collection for those initial 80 sites will 

continue into 2011 with the addition of 

another 160 sampled hospitals, for a 

grand total of 240. All 240 hospitals will 

be designated to participate in the 2012 

survey. Within each sampled hospital, a 

stratified, random sample of 120 

discharges will be targeted. In the 

redesigned survey all data will be 

abstracted by trained health care staff 

under contract. All data will be obtained 

from hospital records and charts and 

computer systems. 

The data items to be collected in the 

redesigned NHDS will include 

significant additional details. Patient 

level data items to be collected include 

basic demographic information as well 

as personal identifiers, such as Social 

Security Number (last 4 digits), name 

and medical record number; clinical 

laboratory results, such as hematocrit 

and white blood cell count; and 

financial billing and medical record 

data. Facility level data items include 

demographic information, clinical 

capabilities, and financial information. 

Users of NHDS data include, but are 

not limited to CDC, Congressional 

Research Office, Office of the Assistant 

Secretary for Planning and Evaluation 

(ASPE), American Health Care 

Association, Centers for Medicare & 

Medicaid Services (CMS), and Bureau of 

the Census. Data collected through 

NHDS are essential for evaluating health 

status of the population, for the 

planning of programs and policy to 

elevate the health status of the Nation, 

for studying morbidity trends, and for 

research activities in the health field. 

NHDS data have been used extensively 

in the development and monitoring of 

goals for the Year 2000 and 2010 

Healthy People Objectives. In addition, 

NHDS data provide annual updates for 

numerous tables in the Congressionallymandated NCHS report, Health, United 

States. Other users of these data include 

universities, contract research 

organizations, many in the private 

sector, foundations, and a variety of 

users in the print media. There is no 


cprice-sewell on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices 46777 

cost to respondents other than their time 

to participate. 

ESTIMATED ANNUALIZED BURDEN HOURS

Form Respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

CURRENT NHDS 2010: 

Primary Procedure Hospital 

(PPH) Sample Listing Sheet.

Medical Coder .................................. 7 12 25/60 35 

PPH Medical Abstract Form ...... Medical Coder .................................. 7 250 5/60 146 

PPH Transmittal Notice ............. Medical Coder .................................. 7 12 1/60 1 

Alternate Procedure Hospital— 

Locating medical records.

Medical Coder .................................. 20 250 1/60 83 

In-House Tape or Printout Hospital—Computer programming 

and submission.

Medical Coder .................................. 14 12 13/60 36 

Hospital Interview Questionnaire Hospital CEO/CFO ........................... 5 1 2 10 

REDESIGNED NHDS 2010–2012: 

Survey presentation to hospital Hospital CEO/CFO ........................... 80 1 1 80 

Induction (including initial facility 

questionnaire).

Director of health information management.80 1 4 320 

Post induction annual facility 

questionnaire.

Director of health information management.107 1 2 214 

Sample hospital discharges, obtain UB–04 & payment data.Director of health information management.187 120 14/60 5,236 

Verify sampling & re-abstract 

medical records.

Director of health information management.26 10 7/60 30 

Total .................................... ........................................................... ........................ ........................ ........................ 6,191 

Dated: September 2, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–21914 Filed 9–10–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–09CK] 

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 404–639–5960 and 

send comments to Maryam I. Daneshvar, 

CDC Acting 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 

Asthma Information Reporting System 

(AIRS)—New—Air Pollution and 

Respiratory Health Branch (APRHB), 

National Center for Environmental 

Health (NCEH, Centers for Disease 

Control and Prevention (CDC)). 

Background and Brief Description 

In 1999, the CDC began developing its 

National Asthma Control Program, a 

population-based, public health 

approach to addressing the burden of 

asthma. The program supports the goals 

and objectives of ‘‘Healthy People 2010’’ 

for asthma and is based on the public 

health principles of surveillance, 

partnerships, and interventions. This 

data collection request will provide 

NCEH with routine information, 

through a semi-annual Management 

Information System, AIRS, about the 

activities and performance of the state 

and territorial grantees funded under 

the National Asthma Control Program. 

The primary purpose of the National 

Asthma Control Program is to develop 

program capacity to address asthma 

from a public health perspective to 

bring about: (1) A focus on asthmarelated activity within states; (2) an 

increased understanding of asthmarelated data and its application to 

program planning and evaluation 

through the development and 

maintenance of an ongoing asthma 

surveillance system; (3) an increased 

recognition, within the public health 

structure of states, of the potential to use 

a public health approach to reduce the 

burden of asthma; (4) linkages of state 

health agencies to other agencies and 

organizations addressing asthma in the 

population; and (5) implementation of 

interventions to achieve positive health 

impacts, such as reducing the number of 

deaths, hospitalizations, emergency 

department visits, school or work days 

missed, and limitations on activity due 

to asthma. 

The proposed AIRS management 

information system will be comprised of 

multiple components that enable the 

electronic reporting of three types of 


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