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[Federal Register Volume 89, Number 222 (Monday, November 18, 2024)]
[Notices]
[Pages 90698-90699]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-26777]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-25-25AW; Docket No. CDC-2024-0094]

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 information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled National Concussion Surveillance System. This data collection is 
designed to allow CDC to calculate the prevalence and incidence of 
traumatic brain injuries (TBI) for both adults and children, and the 
circumstances related to TBIs occurring in the preceding year.

DATES: CDC must receive written comments on or before January 17, 2025.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0094 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, H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; 
Email: [email protected].

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

    National Concussion Surveillance System--New--National Center for 
Injury Prevention and Control (NCIPC), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    In 2014, an Institute of Medicine (IOM) report titled ``Sports-
Related Concussions in Youth: Improving the Science, Changing the 
Culture,'' recommended that the U.S. Centers for Disease Control and 
Prevention (CDC) establish and oversee a national surveillance system 
to accurately determine the incidence of sports-related concussions 
[i.e., mild traumatic brain injuries, or TBIs], including those in 
youth ages five to 21. The report further recommended that the cause, 
nature, and extent of the concussive injury also should be collected, 
including the sport or activity, level of competition, and signs and 
symptoms consistent with a concussion. The IOM recommendation was made 
because there were significant gaps in understanding of TBI, including 
concussion, incidence and prevalence estimates. Current non-fatal TBI 
surveillance estimates typically utilize emergency department (ED) or 
hospitalization-focused data sources. But these sources cannot account 
for injuries that go untreated or injuries diagnosed in primary care, 
urgent care, or specialty care settings, potentially missing 
information on millions of TBIs sustained each year. Without an 
accurate understanding of the burden, trends, and characteristics of 
these injuries, it is challenging to design or focus effective 
prevention programs, policies, or practices. The consequences from TBI 
are staggering, with many resulting in intensive and long-term care 
needs. This data collection could help fill significant knowledge gaps 
and inform prevention efforts across the country.
    The purpose of this data collection is to calculate the 12-month 
prevalence and incidence of TBI for both adults and children, and the 
circumstances related to TBIs occurring in the preceding 12 months. The 
data collection instrument is largely based on the instrument used 
during the pilot that utilized cognitive testing prior to deployment. 
Data collected will include reports of head injuries experienced in the 
preceding 12 months, and the most recent head injury reported will be 
assessed for symptoms of TBI. We will also query respondents who 
sustained a head injury regarding the mechanism of injury (cause) and 
circumstances related to the TBI, medical care received, impact on 
social and school functioning, and information related to returning to 
work/school/play.
    Data will be analyzed to produce nationally representative 12-month 
incidence and prevalence estimates of non-fatal TBI in children (ages 
5-17) and adults. Data collected are likely to be used by state and 
local governments, researchers, voluntary health organizations, 
physicians, health educators, workplace wellness

[[Page 90699]]

programs, healthcare systems, and professional and advocacy 
organizations to guide program investments, provide up-to-date 
information on symptom presentation, healthcare utilization patterns, 
and patient recovery among others, and to provide information on 
prevention of TBI.
    Data obtained from this data collection are not available from 
currently existing databases, and the data needed for analysis cannot 
be added to existing data collection processes. This data collection 
will occur over three years. After each data collection year, findings 
will be reviewed to identify potential modifications to the methodology 
and survey for following year collection. Depending on the nature and 
scope of the improvements, a change request or a Revision package will 
be submitted to OMB for review and approval. CDC requests OMB approval 
for an estimated 5,656 annual burden hours. There is no cost to 
respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
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                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Individuals and Households....  Initial                   57,405               1            1/60             957
                                 Invitation
                                 Letter.
                                Reminder                  53,312               1            1/60             889
                                 Postcard.
                                Final Reminder            50,583               1            1/60             843
                                 Letter.
                                Text Message              27,696               1            1/60             462
                                 Reminder.
                                Screener........          10,058               1            4/60             671
                                Survey, web.....           8,682               1           11/60            1592
                                Survey, phone...           1,318               1           11/60             242
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           5,656
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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. 2024-26777 Filed 11-15-24; 8:45 am]
BILLING CODE 4163-18-P
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