Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices 39757 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Avg. burden 

per response 

(in hrs.) 

Total burden 

(in hrs.) 

Traditional Office-based Physicians 

or Staff.

2018 Physician Induction Interview 

(NAMCS–1).

122 1 30/60 61 

Traditional Office-based Physicians 

or Staff.

2019+ Physician Induction Interview 

(NAMCS–1).

1,097 1 30/60 549 

Traditional Office-based Physicians 

or Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts).

99 30 1/60 50 

Traditional Office-based Physicians 

or Staff.

2019+ Pulling, re-filing medical 

record forms (FR abstracts).

893 30 1/60 447 

MU Office-based Physician Staff ...... 2019+ MU Physician Induction 

Interview (NAMCS–PFI).

2,000 1 45/60 1,500 

MU Office-based Physician Staff ...... 2019+ Pulling, re-filing medical 

record forms (MU Onboarding).

2,000 1 60/60 2,000 

Community Health Center Executive/ 

Medical Directors.

2018 Induction Interview—service 

delivery site (NAMCS–201).

12 1 30/60 6 

Community Health Center Executive/ 

Medical Directors.

2019+ Induction Interview—service 

delivery site (NAMCS–201).

104 1 30/60 52 

Community Health Center Providers 2018 Induction Interview—Providers 

(NAMCS–1).

27 1 30/60 14 

Community Health Center Providers 2019+ Induction Interview—Providers (NAMCS–1).234 1 30/60 117 

Community Health Center Provider 

Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts).

27 30 1/60 14 

Community Health Center Provider 

Staff.

2019+ Pulling, re-filing medical 

record forms (FR abstracts).

234 30 1/60 117 

Traditional Physician Office-based 

and Community Health Center 

Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts) for 

the Reabstraction Study.

3 10 1/60 1 

Traditional Physician Office-based 

and Community Health Center 

Staff.

2019+ Reinterview Study ................ 100 1 15/60 25 

Total ........................................... .......................................................... ........................ ........................ ........................ 4,953 

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. 2018–17175 Filed 8–9–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

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

0066] 

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 ‘‘Dental Survey: Improving 

outpatient antibiotic use through 

implementation and evaluation of Core 

Elements of Outpatient Antibiotic 

Stewardship.’’ This information 

collection request will generate data to 

assess knowledge, attitudes, practices 

and perceived barriers to appropriate 

antibiotic prescribing in a representative 

sample of dental providers. Results will 

be used to inform interventions for this 

specific provider population and 

support our efforts to improve 

antimicrobial stewardship within 

outpatient clinics. 

DATES: CDC must receive written 

comments on or before October 9, 2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0066 by any of the following methods: 

• Federal eRulemaking Portal: 

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–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 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: 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 


daltland on DSKBBV9HB2PROD with NOTICES
39758 Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices 

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 

Dental Survey: Improving outpatient 

antibiotic use through implementation 

and evaluation of Core Elements of 

Outpatient Antibiotic Stewardship— 

New Information Collection Request— 

National Center for Emerging and 

Zoonotic Infectious Diseases (NCEZID), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Antibiotic resistance is a growing 

problem that has been shown to be a 

result of wide-spread antibiotic use and 

misuse. While efforts to improve 

antibiotic use to date have been 

primarily implemented in the inpatient 

setting, the majority of antibiotics are 

prescribed in the outpatient setting. Up 

to 50% of all antibiotics prescribed for 

acute respiratory tract infections (ARI) 

are proposed to be inappropriate. 

Interventions that have been 

demonstrated to decrease inappropriate 

use include audit-and-feedback, 

academic detailing, clinical decision 

support systems (CDSS), providerfocused public commitments to reduce 

inappropriate antibiotic use, and 

delayed antibiotic prescriptions. 

However, current data is limited due to 

short study timeframes and lack of 

sustainability. 

In a pilot project, phone interviews 

were conducted with six dental 

providers and three pediatricians, 

specifically those who could speak to 

the knowledge, attitudes and behaviors 

of their peers. PRA was deemed not 

applicable by the NCEZID PRA 

representative for this pilot. We 

identified six dental providers that were 

recruited for a phone interview with our 

team’s healthcare psychologist. Semistructured interviews were used to 

assess: (1) Knowledge about antibiotic 

prescribing (what constitutes 

appropriate and inappropriate 

prescribing); (2) the providers current 

antibiotic prescribing practices; (3) 

beliefs about the consequences of 

inappropriate and appropriate 

prescribing (e.g., consequences for the 

provider, for individual patients, and for 

the healthcare system); (4) attitudes 

about antibiotic prescribing (expected 

negative and positive reactions to 

appropriate prescribing); (5) subjective 

norms (beliefs related to what is 

‘‘normal’’ antibiotic prescribing for the 

provider and for peers); (6) control 

beliefs related to appropriate prescribing 

(factors that make appropriate 

prescribing easy or difficult, e.g., 

barriers); and (7) future planned 

behaviors along with perceived 

solutions to promote appropriate 

antibiotic prescribing. 

During the analysis of the six dental 

interviews it was determined by the 

team that these interviews contained 

very unique information in terms of 

knowledge, attitudes and behaviors 

compared to other non-dental providers. 

Therefore, it was also determined that 

information saturation was not reached 

during this first data collection phase. 

We want to continue our data collect 

efforts within this specific population. 

This information will be crucial in 

future design of scalable and sustainable 

outpatient antibiotic stewardship 

interventions that incorporate all Core 

Elements of Outpatient Antibiotic 

Stewardship and to be able to 

implement it across a network of dental 

outpatient facilities. 

The total estimated annual Burden 

Hours are 50. There will be no 

anticipated costs to respondents other 

than their time. 

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) 

Dental Providers ................................ Dental Survey CDC Outpatient 

SHEPheRD.

100 1 .5 50 

Total ........................................... .......................................................... ........................ ........................ ........................ 50 

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. 2018–17174 Filed 8–9–18; 8:45 am] 

BILLING CODE 4163–18–P 


daltland on DSKBBV9HB2PROD with NOTICES