[Federal Register Volume 83, Number 110 (Thursday, June 7, 2018)]
[Notices]
[Pages 26464-26465]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-12251]



[[Page 26464]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-18AFX; Docket No. CDC-2018-0052]


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.

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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 and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled Traumatic Brain Injury 
Disparities in Rural Areas (TBIDRA). This study will conduct a 
formative research to understand the challenges that rural healthcare 
providers face when diagnosing, treating, and managing traumatic brain 
injury (TBI) and develop a knowledge base to address gaps in services 
to improve clinical care and TBI outcomes in rural communities.

DATES: CDC must receive written comments on or before August 6, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0052 by any of the following methods:
    <bullet> Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
    <bullet> Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (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 Jeffery M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
<a href="/cdn-cgi/l/email-protection#1a7577785a797e79347d756c"><span class="__cf_email__" data-cfemail="7a1517183a191e19541d150c">[email protected]</span></a>.

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; and
    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.
    5. Assess information collection costs.

Proposed Project

    Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)--New--
National Center for Injury Prevention and Control (NCIPC), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    Traumatic Brain Injury (TBI) is a significant public health concern 
in the United States, research indicates that residents of rural areas 
have both higher incidence and higher mortality rates from TBI than do 
residents of urban areas, and that the prevalence of TBI-related 
disability in rural geographical areas is higher than in urban and 
suburban areas. The obstacles healthcare providers and patients face in 
rural areas are vastly different than those in urban areas. There is 
little published research specifically related to the challenges rural 
providers face in TBI diagnosis and treatment, and even less 
examination into effective ways to address gaps in service and improve 
TBI outcomes. The National Center for Injury Prevention and Control at 
the CDC, in a 2015 ``Report to Congress on TBI in the United States,'' 
determined that certain population groups, including residents of rural 
geographic areas, require special consideration when it comes to 
researching TBI.
    This is a new Information Collection Request for 2 years to collect 
information on challenges that rural healthcare providers face in 
diagnosing, treating, and managing TBI of all severities and develop a 
knowledge base upon which we can begin to address gaps in services to 
improve clinical care and TBI outcomes in rural communities. The target 
population for the data collection effort includes physicians, nurse 
practitioners (NPs), and physician assistants (PAs) in selected 
specialties (general or family practice, emergency medicine, 
pediatrics) working in direct patient care in rural and urban areas. 
The focus of the study is rural healthcare providers; urban healthcare 
providers will be included in this study to allow for comparison in 
identifying the distinct challenges and opportunities for rural 
healthcare providers. This study has two data collection methods. A web 
survey to gather quantitative data on the unique challenges faced by 
rural clinicians, and focus groups to gain deeper insight into the 
context supporting and/or inhibiting access to comprehensive TBI 
evaluation and treatment, the study will collect qualitative data 
through focus groups with rural clinicians.
    The proposed information collection is authorized by the Public 
Health Services Act (PHS Act) which provides the legislative means for 
states to advance public health across the lifespan and to reduce 
health disparities.
    The total estimated annualized burden hours is 200. There are no 
costs to respondents other than their time.

[[Page 26465]]



                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondent            Form name       respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
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Health care providers (Primary  TBI Provider                 600               1           15/60             150
 Care Physician, Emergency       Survey.
 Physician, Nurse Practitioner
 and Physician Assistant).
                                Focus group                   36               1            5/60               3
                                 screener.
                                Focus group                   31               1            5/60               3
                                 questionnaire.
                                Focus group                   31               1           85/60              44
                                 discussion
                                 guide.
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    Total.....................  ................  ..............  ..............  ..............             200
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Jeffrey M. Zirger,
Acting Chief, Information Collection Review Office, Office of 
Scientific Integrity, Office of the Associate Director for Science, 
Office of the Director, Centers for Disease Control and Prevention.
[FR Doc. 2018-12251 Filed 6-6-18; 8:45 am]
BILLING CODE 4163-18-P


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