Federal Register / Vol. 88, No. 185 / Tuesday, September 26, 2023 / Notices 66003 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average hours 

per response 

Total response 

burden 

(hours) 

Total ........................................... ........................................................... ........................ ........................ ........................ 46,516 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Public Health Ethics and 

Regulations, Office of Science, Centers for 

Disease Control and Prevention. 

[FR Doc. 2023–20761 Filed 9–25–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–23–1305] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled ‘‘Chronic Q 

Fever in the United States: Enhanced 

Clinical Surveillance’’ to the Office of 

Management and Budget (OMB) for 

review and approval. CDC previously 

published a ‘‘Proposed Data Collection 

Submitted for Public Comment and 

Recommendations’’ notice on June 27, 

2023 to obtain comments from the 

public and affected agencies. CDC 

received no comments related to the 

previous notice. This notice serves to 

allow an additional 30 days for public 

and affected agency comments. 

CDC will accept all comments for this 

proposed information collection project. 

The Office of Management and Budget 

is particularly interested in comments 

that: 

(a) 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; 

(b) Evaluate the accuracy of the 

agencies estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(c) Enhance the quality, utility, and 

clarity of the information to be 

collected; 

(d) 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 submission of 

responses; and 

(e) Assess information collection 

costs. 

To request additional information on 

the proposed project or to obtain a copy 

of the information collection plan and 

instruments, call (404) 639–7570. 

Comments and recommendations for the 

proposed information collection should 

be sent within 30 days of publication of 

this notice to www.reginfo.gov/public/ 

do/PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. Direct written 

comments and/or suggestions regarding 

the items contained in this notice to the 

Attention: CDC Desk Officer, Office of 

Management and Budget, 725 17th 

Street NW, Washington, DC 20503 or by 

fax to (202) 395–5806. Provide written 

comments within 30 days of notice 

publication. 

Proposed Project 

Chronic Q Fever in the United States: 

Enhanced Clinical Surveillance (OMB 

Control No. 0920–1305, Exp. 9/30/ 

2023)—Revision—National Center for 

Emerging and Zoonotic Infectious 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Q fever is a worldwide zoonosis 

caused by Coxiella burnetii with acute 

and chronic disease presentations. 

Chronic Q fever can manifest months to 

years after the primary infection and is 

rare, occurring in <5% of persons with 

an acute infection. Chronic Q fever can 

take on several clinical forms, including 

endocarditis, chronic hepatitis, chronic 

vascular infections, osteomyelitis, and 

osteoarthritis. In the United States, Q 

fever cases are reported via the National 

Notifiable Disease Surveillance System; 

however, limited information is 

collected on the various clinical 

manifestations of chronic Q fever or 

patients pre-existing risk factors. Data 

on outcomes other than death or 

hospitalizations are not collected by the 

current surveillance. Because of this 

lack of data, the true burden and 

proportion of cases exhibiting 

endocarditis and other forms of chronic 

Q fever in the United States is 

unknown. We plan to establish an 

enhanced medical surveillance for 

chronic Q fever by working with 

consulting clinicians to gather 

additional and more specific clinical 

data not otherwise collected during the 

course of routine public health 

surveillance for chronic Q fever. This 

information will allow for better 

characterization of the clinical 

presentation and risk factors of chronic 

Q fever in the United States. The results 

will help characterize an underrecognized disease and provide valuable 

data to educate physicians on 

identifying and diagnosing these cases. 

Recently, there has been an increased 

volume of clinical consultation requests. 

To reflect this, we are proposing an 

increase in the number of respondents 

to 50 each year. Additionally, the 

clinical course for these patients is often 

complex, and clinical relapse or 

prolonged infection has been reported. 

To capture these important clinical 

details, we propose increasing the 

number of total instruments to two, with 

a follow-up survey that will take five 

minutes each at six, 12, 18, and 24 

months from the date of the initial 

consult. 

CDC requests OMB approval for an 

estimated 34 annual burden hours. 

There is no cost to respondents other 

than their time to participate. 


lotter on DSK11XQN23PROD with NOTICES1
66004 Federal Register / Vol. 88, No. 185 / Tuesday, September 26, 2023 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of 

respondents Form name Number of respondents 

Number 

of responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Physician ................................ Chronic Q fever Enhanced Surveillance Report Form—Initial 

Consult.

50 1 20/60 

Physician ................................ Chronic Q fever Enhanced Surveillance Report Form—Follow-up.50 2 10/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Public Health Ethics and 

Regulations, Office of Science, Centers for 

Disease Control and Prevention. 

[FR Doc. 2023–20759 Filed 9–25–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–23–23IE; Docket No. CDC–2023– 

0077] 

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 information collection, as 

required by the Paperwork Reduction 

Act of 1995. This notice invites 

comment on a proposed information 

collection project titled Social and 

Economic Barriers to Receiving Optimal 

Services Along the Cancer Care 

Continuum. This mixed methods data 

collection effort will help CDC 

understand the social and economic 

barriers that colorectal, breast, and 

cervical cancer survivors and their 

caregivers face at each stage of the 

cancer care continuum, from screening 

through survivorship, and how these 

barriers may vary by population. 

DATES: CDC must receive written 

comments on or before November 27, 

2023. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2023– 

0077 by either of the following methods: 

• Federal eRulemaking Portal: 

www.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 H21–8, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. CDC will post, without 

change, all relevant comments to 

www.regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(www.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 

H21–8, Atlanta, Georgia 30329; 

Telephone: 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; 

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; and 

5. Assess information collection costs. 

Proposed Project 

Social and Economic Barriers to 

Receiving Optimal Services Along the 

Cancer Care Continuum—New— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC) 

Background and Brief Description 

The purpose of this project is to: (1) 

examine and better understand social 

and economic barriers faced by 

colorectal, breast, and cervical cancer 

survivors and their caregivers at each 

stage of the Cancer Care Continuum 

(CCC); and (2) quantify the impact of 

individual and compounded barriers on 

health outcomes along the CCC for 

survivors. CDC will use a mixed 

methods data collection approach. 

First, CDC plans to pull our sample 

from cancer registry data in California, 

North Carolina, and Texas based on 

inclusion criteria (received first cancer 

diagnosis of either breast, cervical or 

colorectal cancer in 2021; 18–75 years of 

age at time of diagnosis; are nonHispanic Black/African American, nonHispanic White, or Hispanic; alive at the 

time of data extraction/sample 

selection). Then, CDC will administer a 

Wave 1 (baseline) and Wave 2 (followup) survey to cancer survivors, as well 

as a survey to their caregivers. 

Additionally, CDC will conduct 

interviews with survivors and caregivers 

as well as focus groups with 


lotter on DSK11XQN23PROD with NOTICES1