6162 Federal Register / Vol. 74, No. 23 / Thursday, February 5, 2009 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Parents of boys and girls, ages 11 to 14 AND 

youth ages 11 to 14.

Focus Group Screening Instrument for Parents and Youth (Attachment M).576 2 5/60 

Youths ages 11 to 14 ..................................... Focus Group Survey (Attachment N) ............ 288 2 5/60 

Youths ages 11 to 14 ..................................... Focus Group Moderator’s Guide (Attachment 

D).

288 2 1.5 

Parents of boys and girls, ages 11 to 14 ....... Online Survey E-mail Invitation AND Online 

Survey Screening Instrument for Parents 

(Attachments E and F).

400 4 5/60 

Youths ages 11 to 14 ..................................... Online Survey Screening Instrument for 

Youth (Attachment H).

400 4 3/60 

Youths ages 11 to 14 ..................................... Online Survey (Attachment C) ....................... 200 4 10/60 

Dated: January 29, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–2441 Filed 2–4–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–08BS] 

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 email 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 

Testing and Development of Materials 

Promoting Prevention and Control of 

Traumatic Brain Injury in Schools— 

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 

Each year, an estimated 1.4 million 

Americans sustain a traumatic brain 

injury (TBI). A TBI is caused by a bump, 

blow, or jolt to the head or a penetrating 

head injury that disrupts the normal 

function of the brain. 

Children ages 0 to 4 years and 

adolescents ages 15–19 are at the 

greatest risk of sustaining a TBI, as they 

often sustain TBIs from a host of 

mechanisms including falls (down stairs 

or from heights such as counter tops or 

beds), direct impacts (e.g., getting hit in 

the head with a ball), and motor vehicle 

crashes. 

In order to address this important 

public health problem among young 

children and adolescents, CDC plans to 

conduct a national TBI educational 

initiative aimed at school nurses, school 

counselors, school psychologists, and 

school administrators. These interviews 

will be targeted because they are well 

positioned to address short- and longterm issues related to TBI. CDC will 

develop educational materials and 

messages for these audiences, as well as 

tools for partners, to help improve the 

prevention, recognition, and 

management of TBI among school-aged 

children and adolescents. This audience 

can also work with schools to institute 

TBI specific back-to-school and returnto-play plans. 

As part of this research, school 

nurses, counselors, psychologists, and 

administrators will participate in 

professionally moderated individual indepth interviews. Information will be 

collected concerning respondents’ 

knowledge, attitudes, and beliefs about 

traumatic brain injury and where and 

how they get health information. 

A total of 96 potential respondents 

will be screened. From this number, 30 

school professionals and 15 school 

administrators will be interviewed. 

The goal of these interviews is to 

understand needs of school 

professionals in the targeted audience 

for materials or tools related to TBI. The 

materials will provide guidance on how 

to prevent and recognize TBI in 

students. The content discussed in these 

interviews will be used to refine 

materials and develop future materials. 

There are no costs to respondents 

other than their time. The total 

estimated annual burden hours are 61. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

School nurses, counselors, psychologists, 

and school administrators.

Screener Instrument for Nurses, Counselors, 

Psychologists, and Administrators.

96 1 10/60 

School nurses, counselors, and psychologists Interview Guide: Concept Testing for TBI 

Education Materials (Interviews with 

School Health Professionals).

30 1 1 

School administrators ..................................... Moderator’s Guide for In-Depth Interviews for 

Administrators.

15 1 1 


rwilkins on PROD1PC63 with NOTICES
Federal Register / Vol. 74, No. 23 / Thursday, February 5, 2009 / Notices 6163 

Dated: January 29, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–2443 Filed 2–4–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–0278) 

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 Ambulatory 

Medical Care Survey (NHAMCS) (OMB 

No. 0920–0278)—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. The National 

Hospital Ambulatory Medical Care 

Survey (NHAMCS) has been conducted 

annually since 1992. NCHS is seeking 

OMB approval to extend this survey for 

an additional three years. 

The purpose of NHAMCS is to meet 

the needs and demands for statistical 

information about the provision of 

ambulatory medical care services in the 

United States. Ambulatory services are 

rendered in a wide variety of settings, 

including physicians’ offices and 

hospital outpatient and emergency 

departments. The target universe of the 

NHAMCS is in-person visits made to 

outpatient departments (OPDs) and 

emergency departments (EDs) of nonFederal, short-stay hospitals (hospitals 

with an average length of stay of less 

than 30 days) or those whose specialty 

is general (medical or surgical) or 

children’s general. 

NHAMCS was initiated to 

complement the National Ambulatory 

Medical Care Survey (NAMCS, OMB 

No. 0920–0234), which provides similar 

data concerning patient visits to 

physicians’ offices. NAMCS and 

NHAMCS are the principal sources of 

data on ambulatory care provided in the 

United States. 

NHAMCS provides a range of baseline 

data on the characteristics of the users 

and providers of hospital ambulatory 

medical care. Data collected include 

patients’ demographic characteristics, 

reason(s) for visit, providers’ diagnoses, 

diagnostic services, medications, and 

disposition. These data, together with 

trend data, may be used to monitor the 

effects of change in the health care 

system, for the planning of health 

services, improving medical education, 

determining health care work force 

needs, and assessing the health status of 

the population. In addition, information 

on cervical cancer screening practices 

from hospital OPD clinics will continue 

to be collected through the Cervical 

Cancer Screening Supplement (CCSS), 

which was added in 2006. This 

supplement will allow the CDC/ 

National Coordinating Center for Health 

Promotion (NCCHP) to evaluate cervical 

cancer screening methods and the use of 

human papillomavirus DNA tests. 

In 2009, hospital-based ambulatory 

surgery centers (ASCs) were added to 

the NHAMCS sample in order to capture 

patient visits to hospital-based ASCs. In 

an effort to expand understanding of 

patient visits to all ASCs, NCHS 

proposes to add free-standing ASCs to 

the NHAMCS data gathering procedures 

in 2010. This will allow a 

comprehensive understanding of patient 

care in ASCs by gathering data on all 

outpatient surgeries not captured in 

other NCHS surveys. NHAMCS ASC 

data that will be collected from freestanding ASCs include patient 

characteristics, diagnoses, surgical and 

nonsurgical procedures, provider and 

type of anesthesia, time in and out of 

surgery and postoperative care, and 

discharge disposition. The data 

collected will also be compared to ASC 

data from the 2006 National Survey of 

Ambulatory Surgery (OMB No. 0920– 

0334). 

Users of NHAMCS 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 are no costs to the respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs) 

Total burden 

hours 

Hospitals: 

Induction Interview .................................................................................... 470 1 55/60 431 

ED induction ............................................................................................. 400 1 1 400 

OPD induction .......................................................................................... 250 4 1 1,000 

ASC induction ........................................................................................... 200 1 1 200 

ED Patient Record Form .......................................................................... 400 100 7/60 4,667 

OPD Patient Record Form ....................................................................... 250 200 6/60 5,000 

ASC Patient Record Form ........................................................................ 200 100 6/60 2,000 


rwilkins on PROD1PC63 with NOTICES