48078 Federal Register / Vol. 74, No. 181 / Monday, September 21, 2009 / Notices 

ESTIMATED ANNUALIZED BURDEN

Respondents 

Number of 

respondents 

per year 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Test Volunteers ................................................................................................ 500 1 1.25 625 

Dated: September 14, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–22650 Filed 9–18–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–09CO] 

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 

Increasing Adoption of CROPS by 

Farmers and Manufacturers—New— 

National Institute for Occupational 

Safety and Health (NIOSH), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

There was an average of 200 tractorrelated fatalities annually between 1992 

and 2005 in the U.S., with tractor 

overturns accounting for 1,412 of these 

deaths. The majority could have been 

prevented with the use of a rollover 

protective structure (ROPS). It is 

estimated that about half of the 4.8 

million tractors in the United States 

currently do not have ROPS installed. 

Earlier research indicated that adoption 

of retrofit ROPS technology for older 

tractors is impeded by the costs, 

complexity of this modification, 

usability and storage of the tractor after 

the retrofitting (installation), of a ROPS. 

To overcome these barriers, NIOSH 

designed a prototype of a cost-effective 

roll over protective structure (CROPS). 

Projected retrofit costs for CROPS are 

$800, compared to $1,200–$2,500 for 

ROPS; and the installation complexity is 

significantly reduced. NIOSH has 

CROPS prototype designs for five 

tractors: Ford 3000 series, Ford 4000 

series, Ford 8N, Ford 4600 and MasseyFerguson 135. However, this technology 

has not been transferred to the 

agricultural workplace, suggesting that 

the barriers to adoption and 

implementation are much more 

complex than previously believed. 

With the assistance of state partners, 

the project will identify the study 

population—farmers in two selected 

states who use tractors for which a 

CROPS prototype has been developed 

by NIOSH. From this group of farmers 

a subset of farmers from the study 

population will be selected (18 in each 

state for a total of 36) to receive a 

CROPS at no charge. Each farmer will be 

asked to install the CROPS and provide 

an initial assessment of their perception 

of the utility and value of the device and 

allow others to observe the retrofit 

process. New York and Virginia were 

selected as states because of their high 

number of tractor roll over fatalities and 

established relationships with NIOSH, 

its partners, and access to farming 

communities. The state partners will 

schedule and arrange 18 demonstration 

projects within their respective states 

for a total of 36 tractor retrofit 

demonstrations. Attendance at these 

events is anticipated to be 

demonstrators, observers, community 

leaders and fabricators. It is anticipated 

to have a minimum of 10 attendees 

identified and secured for each of the 36 

demonstration projects. These attendees 

will be invited to observe installation of 

CROPS in the field and queried on their 

perception of the utility and value of the 

design. This will help identify barriers 

from and approaches for stimulating 

farmers to retrofit their tractors with 

Cost-Effective Roll-Over Protection 

Structures (CROPS) using stakeholder 

input. 

There is no cost to respondents other 

than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents No. of 

respondents 

No. of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

(in hours) 

Farmer demonstrators of retrofitting CROPS .................................................. 36 3 15/60 27 

Observers of CROPS demonstration .............................................................. 364 3 15/60 273 

Total .......................................................................................................... ........................ ........................ ........................ 300 

mstockstill on DSKH9S0YB1PROD with NOTICES

Federal Register / Vol. 74, No. 181 / Monday, September 21, 2009 / Notices 48079 

Dated: September 14, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–22648 Filed 9–18–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–09AD] 

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 or send 

comments to 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 

Evaluation of the Field Triage 

Decision Scheme: The National Trauma 

Triage Protocol—New—Division of 

Injury Response (DIR), National Center 

for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The Field Triage Decision Scheme: 

The National Trauma Triage Protocol 

educational initiative was developed to 

help emergency medical services (EMS) 

professionals (administrators, medical 

directors, trauma system leadership, and 

providers) learn about and implement 

the revised Field Triage Decision 

Scheme. The Decision Scheme is 

intended to be the foundation for the 

development of local and regional field 

triage protocols. 

In the United States, injury is the 

leading cause of death for persons aged 

1–44 years. EMS professionals have a 

substantial impact on care of the injured 

and on public health. At an injury 

scene, EMS professionals determine the 

severity of injury, initiate medical 

management, and identify the most 

appropriate facility to which the patient 

should be transported. This destination 

decision is made through a process 

called field triage. Certain hospitals 

have additional expertise, resources, 

and equipment to treat severely injured 

patients. These facilities are known as 

trauma centers and are classified from 

Level I to Level IV. The risk for death 

of a severely injured person is 25% 

lower if the patient receives care at a 

Level I trauma center. However, not all 

patients require the services of a Level 

I trauma center; proper triage will 

ensure that patients who are injured less 

severely will be transported to a closer 

emergency department that is capable of 

managing their injuries. 

In an effort to encourage use of 

improved triage procedures, CDC’s 

National Center for Injury Prevention 

and Control (NCIPC) worked with 

experts and partner organizations to 

develop the 2006 Field Triage Decision 

Scheme. In support of the 2006 Field 

Triage Decision Scheme, NCIPC 

developed a multi-media toolkit aimed 

at EMS professionals. The toolkit 

includes A Guide to the Field Triage 

Decision Scheme: The National Trauma 

Triage Protocol, a poster, CD–ROM, and 

pocket card to help EMS providers, 

planners, and administrators effectively 

train others and use the Decision 

Scheme criteria within their own 

systems. 

After the national distribution, NCIPC 

will conduct an online survey of EMS 

professionals who have received a 

toolkit to assess the short-term impact of 

the communication initiative directed at 

EMS professionals about field triage 

procedures. Specifically, the survey will 

assess how many EMS professionals 

who received a copy of the Decision 

Scheme are using it, how EMS 

professionals have used the Decision 

Scheme and accompanying toolkit 

materials, how the materials have been 

used to educate others, what EMS 

professionals learned from the 

materials, and how the Decision Scheme 

changed EMS professional’s triage 

practices. Survey results will be used to 

identify the impact and applicability of 

the Decision Scheme and toolkit 

materials for EMS professionals. 

NCIPC will also conduct focus groups 

with a segment of the survey 

respondents in order to have them 

elaborate on data submitted through the 

survey. These group interviews will 

focus on the extent the Decision Scheme 

is being used, how it is being 

implemented, self-reported changes in 

knowledge, and perceived impact on 

treatment of trauma patients. There are 

no costs to respondents other than their 

time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Type of 

respondents Form name No. of respondents 

No. of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

EMS professionals ............................ Online survey ................................... 3,000 1 15/60 750 

Screening and Recruitment for 

Focus Groups.

48 1 5/60 4 

Focus Groups ................................... 64 1 1 64 

Total ........................................... ........................................................... ........................ ........................ ........................ 818 

mstockstill on DSKH9S0YB1PROD with NOTICES