34592 Federal Register / Vol. 83, No. 140 / Friday, July 20, 2018 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–18–18AJJ; Docket No. CDC–2018– 

0056] 

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 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 Knowledge, Attitudes, and 

Practices of US Large Animal 

Veterinarians Concerning Common 

Veterinary Infection Control Measures 

When Working with Animal Obstetric 

Cases. The goals of this survey are to 

better describe veterinarians’ current 

knowledge of zoonotic infectious 

diseases that cause abortion in large 

animals, determine common veterinary 

infection control practices when 

working up obstetric cases, and identify 

common barriers to personal protective 

equipment use. 

DATES: CDC must receive written 

comments on or before September 18, 

2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0056 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Jeffrey 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 Jeffrey 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: 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; 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 

Knowledge, Attitudes, and Practices 

of U.S. Large Animal Veterinarians 

Concerning Common Veterinary 

Infection Control Measures When 

Working with Animal Obstetric Cases— 

New ICR—National Center for Emerging 

and Zoonotic Infectious Diseases, 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Veterinarians are particularly at risk 

of contracting zoonotic infectious 

diseases due to their close proximity to 

animals, especially during times of 

injury or illness. Some veterinarians 

may be unaware of recommended 

personal protection measures or opt not 

to participate in measures that would 

decrease their risk of contracting a 

zoonotic disease (Wright et al. 2008). In 

1977, a survey conducted of 1182 

veterinarians showed that 

approximately 43% of the respondents 

had contracted an infectious zoonotic 

disease (Schnurrenberger & Martin 

1977). Today, this elevated zoonotic 

disease risk persists; the seroprevalence 

of Q fever in U.S. veterinarians is 22% 

(Whitney, Massung, et al. 2009) and the 

seroprevalance of leptospirosis is 2.5% 

(Whitney, Ailes, et al. 2009). Within the 

veterinary profession, large animal 

practitioners might have an increased 

risk of occupational exposure to 

infectious zoonotic diseases for many 

reasons, including decreased biosecurity 

measures available in the field and the 

limited space available on a mobile 

practice for PPE. 

The goals of this study are to establish 

veterinarians’ knowledge of zoonotic 

infectious disease, identify 

veterinarians’ attitudes towards 

zoonotic infectious disease and personal 

risk, and determine practices to 

decrease personal risk of infection. By 

identifying knowledge gaps in personal 

protective equipment (PPE) use, 

transmission risk factors, and disease 

identification/diagnosis, we aim to 

determine the best methods for 

education of veterinarians on relevant 

abortion-associated zoonotic infectious 

diseases. 

The purpose of this study is to better 

describe veterinarians’ current 

knowledge of zoonotic diseases that 

cause abortion in large animals, 

determine common veterinary infection 

control practices when working up 

obstetric cases, and identify common 

barriers to PPE use. In order to develop 

effective messaging strategies, a deeper 

understanding of the attitudes and 

barriers to PPE use is needed. The 

information collected will be used to 

improve and enhance zoonotic disease 

education and PPE guidance targeted to 

veterinarians. The estimated annual 

burden hours are 125. There is no cost 

to respondents other than their time. 


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Federal Register / Vol. 83, No. 140 / Friday, July 20, 2018 / Notices 34593 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Veterinarian ....................................... ........................................................... 500 1 15/60 125 

Total ........................................... ........................................................... ........................ ........................ ........................ 125 

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. 2018–15528 Filed 7–19–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10675] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

September 18, 2018. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ website address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10675 Evaluation of the CMS 

Quality Improvement Organizations: 

Medication Safety and Adverse Drug 

Event Prevention 

Under the 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. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collection 

1. Type of Information Collection 

Request: New Collection of Information 

Request; Title of Information Collection: 

Evaluation of the CMS Quality 

Improvement Organizations: Medication 

Safety and Adverse Drug Event 

Prevention; Use: The purpose of this 

Information Collection Request (ICR) is 

to collect data to inform the program 

evaluation of the Centers for Medicare & 

Medicaid Services (CMS) Quality 

Improvement Organizations (QIO) 

current contract known as the 11th 

Scope of Work (SOW). The current ICR 

focuses on evaluating one component of 

the quality improvement activities of 

the Quality Innovation Network Quality 

Improvement Organizations (QIN–QIOs) 

and is part of a larger evaluation of the 

overall impact of the QIO program. This 

ICR aims to assess the QIN–QIO Task 

which focuses on Medication Safety and 

Adverse Drug Event Prevention. For this 

evaluation, we are using a mixedmethods design to compare quality 

improvement activities of pharmacists, 

physicians, and nursing home 

administrators or directors of nursing at 

nursing homes participating in the QIN– 

QIO program (participating) with those 

not participating in the QIN–QIO 

program (non-participating). 

As mandated by Sections 1152–1154 

of the Social Security Act, CMS directs 

the QIO program, which is one of the 

largest federal programs dedicated to 

improving health quality for Medicare 

beneficiaries. QIOs are groups of health 

quality experts, clinicians, and 


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