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 Department of Health and Human Services Centers for Disease Control and Prevention [30Day-24-0728]
 In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention (CDC) has submitted the information collection request titled “National Notifiable Diseases Surveillance System (NNDSS)” 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 November 14, 2023 to obtain comments from the public and affected agencies. CDC received one comment 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.
                    ( print page 7716) Proposed Project National Notifiable Diseases Surveillance System (NNDSS) (OMB Control No. 0920-0728, Exp. 03/31/2026)—Revision—Office of Public Health Data, Surveillance, and Technology (OPHDST), Centers for Disease Control and Prevention (CDC). Background and Brief Description The Public Health Services Act (42 U.S.C. 241) authorizes CDC to disseminate nationally notifiable condition information. The National Notifiable Diseases Surveillance System (NNDSS) is based on data collected at the state, territorial and local levels because of legislation and regulations in those jurisdictions that require health care providers, medical laboratories, and other entities to submit health-related data on reportable conditions to public health departments. These reportable conditions, which include infectious and non-infectious diseases, vary by jurisdiction depending upon each jurisdiction's health priorities and needs. Each year, the Council of State and Territorial Epidemiologists (CSTE), supported by CDC, determines which reportable conditions should be designated nationally notifiable or under standardized surveillance. CDC requests a three-year approval for a Revision of the NNDSS (OMB Control No. 0920-0728, Exp. Date 03/31/2026). This Revision includes requests for approval to: (1) receive case notification data for Cronobacter and Ehrlichiosis, new notifiable conditions; (2) receive case notification data for Congenital cytomegalovirus infection and Toxoplasmosis, new conditions under standardized surveillance; and (3) receive new disease-specific data elements for Cronobacter, Hansen's Disease (Leprosy), and Leptospirosis. The NNDSS currently facilitates the submission and aggregation of case notification data voluntarily submitted to CDC from 60 jurisdictions: public health departments in every U.S. state, New York City, Washington DC, five U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands), and three freely associated states (Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). This information is shared across jurisdictional boundaries and both surveillance and prevention and control activities are coordinated at regional and national levels. Approximately 90% of case notifications are encrypted and submitted to NNDSS electronically from already existing databases by automated electronic messages. When automated transmission is not possible, case notifications are faxed, emailed, uploaded to a secure network or entered into a secure website. All case notifications that are faxed or emailed are done so in the form of an aggregate weekly or annual report, not individual cases. These different mechanisms used to send case notifications to CDC vary by the jurisdiction and the disease or condition. Jurisdictions remove most personally identifiable information (PII) before data are submitted to CDC, but some data elements (
                    *e.g.,*
                     date of birth, date of diagnosis, county of residence) could potentially be combined with other information to identify individuals. Private information is not disclosed unless otherwise compelled by law. All data are treated in a secure manner consistent with the technical, administrative, and operational controls required by the Federal Information Security Management Act of 2002 (FISMA) and the 2010 National Institute of Standards and Technology (NIST) Recommended Security Controls for Federal Information Systems and Organizations. Weekly tables of nationally notifiable diseases are available through CDC WONDER and 
                    *data.cdc.gov.*
                     Annual summaries of finalized nationally notifiable disease data are published on CDC WONDER and 
                    *data.cdc.gov*
                     and disease-specific data are published by individual CDC programs. The burden estimates include the number of hours that the public health department uses to process and send case notification data from their jurisdiction to CDC. Specifically, the burden estimates include separate burden hours incurred for automated and non-automated transmissions, separate weekly burden hours incurred for modernizing surveillance systems as part of CDC's Data Modernization Initiative (DMI) implementation, separate burden hours incurred for annual data reconciliation and submission, and separate one-time burden hours incurred for the addition of new diseases and data elements. The burden estimates for the one-time burden for reporting jurisdictions are for the addition of case notification data for Cronobacter and Ehrlichiosis, new notifiable conditions; the addition of case notification data for Congenital cytomegalovirus infection and Toxoplasmosis, new conditions under standardized surveillance; and the addition of new disease-specific data elements for Cronobacter, Hansen's Disease (Leprosy) and Leptospirosis. The estimated annual burden for the 257 respondents is 18,414 hours. The total burden hours decreased from 18,594 to 18,414 since the last Revision because there were fewer disease-specific data elements added compared to the previous Revision. There are no costs to respondents other than their time to participate. Estimated Annualized Burden Hours
Type of respondent
Form name
Number of
                             respondents
Number of
                             responses per respondent
Average
                             burden per 
                             response 
                             (in hours)States
Weekly (Automated)
50
52
20/60States
Weekly (Non-automated)
10
52
2States
Weekly (DMI Implementation)
50
52
4States
Annual
50
1
75States
One-time Addition of Diseases and Data Elements
50
1
3Territories
Weekly (Automated)
5
52
20/60Territories
Weekly, Quarterly (Non-automated)
5
56
20/60Territories
Weekly (DMI Implementation)
5
52
4Territories
Annual
5
1
5Territories
One-time Addition of Diseases and Data Elements
5
1
3Freely Associated States
Weekly (Automated)
3
52
20/60Freely Associated States
Weekly, Quarterly (Non-automated)
3
56
20/60Freely Associated States
Annual
3
1
5Freely Associated States
One-time Addition of Diseases and Data Elements
3
1
3( print page 7717)Cities
Weekly (Automated)
2
52
20/60Cities
Weekly (Non-automated)
2
52
2Cities
Weekly (DMI Implementation)
2
52
4Cities
Annual
2
1
75Cities
One-time Addition of Diseases and Data Elements
2
1
3
 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. 2024-02171 Filed 2-2-24; 8:45 am] BILLING CODE 4163-18-P