Federal Register / Vol. 87, No. 63 / Friday, April 1, 2022 / Notices 19097 

increase of 6,312,230 annual responses 

(n=6,325,980) compared to that 

approved in 2019 (n=13,750). CDC also 

estimates the total annualized time 

burden is 5,592,688 hours, which is an 

increase of 5,591,150 hours compared to 

the previously approved 1,538 hours. 

This increase in annual time burden is 

based largely on more accurate 

estimation of the number of 

respondents, the number of responses, 

and adding the 12-month recordkeeping 

burden for both AGE surveillance 

records and for maintenance and 

sanitation records; this recordkeeping 

burden was not accurately accounted for 

in the prior ICR. There are no other 

costs to the 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) 

Cruise ship medical staff or other designated 

personnel.

AGE Illness Report 24 hours before arrival 

(web).

132 30 3/60 

AGE Illness Report 24 hours before arrival 

(phone/email/fax).

168 30 3/60 

AGE Illness Report 4 hours before arrival 

(web).

106 30 3/60 

AGE Illness Report 4 hours before arrival 

(phone/email/fax).

134 30 3/60 

Special Reports exceeding 2%–3% AGE 

Threshold (web/phone/email/fax).

180 4 3/60 

Daily Reports of AGE Logs ............................ 180 12 3/60 

Recordkeeping of AGE Surveillance Records 300 1 8,760 

Cruise ship crew ............................................. 72-hour Food/Activity History Template (AGE 

cases).

575 30 10/60 

Three-day Pre-embarkation AGE Illness Assessment (all crew members).197,640 30 3/60 

Interviews to Determine AGE Status (initial, 

24-hr, 48-hr)(asymptomatic cabin mates 

and immediate contacts of symptomatic 

crew).

2,875 90 5/60 

Last Symptom Check and Return to Work 

Clearance (food and nonfood employees).

575 30 3/60 

Cruise ship passengers .................................. 72-hour Food/Activity History Template (AGE 

cases).

2,795 30 10/60 

Cruise ship engineering staff or other designated personnel.Recordkeeping of Engineering and Sanitation Records.300 1 8,760 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2022–06911 Filed 3–31–22; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60-Day–22–0573; Docket No. CDC–2022– 

0041] 

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 an 

information collection project titled 

National HIV Surveillance System 

(NHSS). The NHSS is designed to 

collect information on cases of human 

immunodeficiency virus (HIV) and 

indicators of HIV disease and HIV 

disease progression including AIDS. 

Data is used to monitor the extent and 

characteristics of the HIV burden in the 

United States. 

DATES: CDC must receive written 

comments on or before May 31, 2022. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2022– 

0041 by either 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 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 

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 


lotter on DSK11XQN23PROD with NOTICES1
19098 Federal Register / Vol. 87, No. 63 / Friday, April 1, 2022 / Notices 

H21–8, Atlanta, Georgia 30329; phone: 

404–639–7118; 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; 

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 HIV Surveillance System 

(NHSS) (OMB Control No. 0920–0573, 

Exp. 11/30/2022)—Revision—National 

Center for HIV, Viral Hepatitis, STD, 

and TB Prevention (NCHHSTP), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

CDC is authorized under Sections 304 

and 306 of the Public Health Service Act 

(42 U.S.C. 242b and 242k) to collect 

information on cases of human 

immunodeficiency virus (HIV) and 

indicators of HIV disease and HIV 

disease progression, including AIDS. 

Data collected as part of the National 

HIV Surveillance System (NHSS) are the 

primary data used to monitor the extent 

and characteristics of the HIV burden in 

the United States. HIV surveillance data 

are used to describe trends in HIV 

incidence, prevalence and 

characteristics of persons diagnosed 

with HIV infection and used widely at 

the federal, state, and local levels for 

planning and evaluating prevention 

programs and health-care services, 

allocating funding for prevention and 

care, and monitoring progress toward 

achieving national prevention goals of 

the Ending the HIV Epidemic in the U.S. 

initiative. 

NHSS data collection activities are 

currently supported through cooperative 

agreements with health departments 

under CDC funding Opportunity 

Announcements PS18–1802: Integrated 

HIV Surveillance and Prevention 

Programs for Health Departments and 

PS20–2010 Integrated HIV Programs for 

Health Departments to Support Ending 

the HIV Epidemic in the United States. 

The activities funded under these 

announcements promote and support 

improving health outcomes for persons 

living with HIV through achieving and 

sustaining viral suppression, and 

reducing health-related disparities by 

using quality, timely, and complete 

surveillance, and program data to guide 

HIV prevention efforts toward reducing 

new HIV infections and ending the HIV 

epidemic in the United States. 

The Division of HIV Prevention 

(DHP), National Center for HIV, Viral 

Hepatitis, STD, and TB Prevention 

(NCHHSTP), CDC in collaboration with 

health departments in the states, the 

District of Columbia, and U.S. 

dependent areas, conducts national 

surveillance for cases of HIV infection 

that includes critical data reported 

across the spectrum of HIV disease 

stages from HIV diagnosis to death. The 

systematic data collection provides the 

essential data used to calculate 

population-based HIV incidence 

estimates, describe the geographic 

distribution of disease, monitor HIV 

transmission and drug resistance 

patterns and genetic diversity of HIV 

among infected persons, detect and 

respond to HIV clusters of recent and 

rapid transmission, and monitor 

perinatal exposures. NHSS data are also 

used locally to identify persons with 

HIV who are not in medical care and 

linking them to care and needed 

services. NHSS data continue to be 

collected, maintained, and reported 

using standard case definitions, report 

forms and software. The system is 

periodically updated as needed to keep 

pace with changes in testing technology 

and advances in HIV care and treatment, 

as well as changing prevention program 

monitoring and evaluation needs. 

The revisions requested in this 

package include program-initiated 

modifications to currently collected data 

elements and forms including changes 

to the Adult Case Report Form (ACRF), 

the Pediatric Case Report Form 

(PCRF)and the Perinatal HIV Exposure 

Reporting (PHER) form. We request 

approval to continue data collection 

using our currently approved data 

collection instruments through 

December 2022 and implement the 

proposed form changes starting in 

January 2023. Changes made to both the 

ACRF and PCRF include addition of two 

variables to collect sexual orientation 

information, updated gender identity 

response options, addition of two new 

HIV test types to accommodate changes 

in testing technology, addition of two 

new response options related to selftesting, addition of three new HIV 

testing history variables to summarize 

self-testing activities (ACRF only) and 

formatting changes to improve usability 

of both forms. The main changes to the 

PCRF include those related to critical 

perinatal exposure information that was 

consolidated across the PHER and PCRF 

to reduce redundancy across forms and 

include some new and revised data 

elements needed to assess progress with 

perinatal elimination efforts and 

support HIV prevention activities. 

Combining the PCRF and PHER forms 

reduced the total number of pages of 

information collected from two forms 

with eight total pages to one form with 

six pages which will reduce burden of 

data collection and increase usability of 

the forms. In all, 10 variables in the 

PHER form will no longer be collected; 

seven variables from the PHER form 

were combined with existing variables 

on the PCRF; 13 variables were moved 

from the PHER form to the new PCRF; 

five new variables were added to the 

PCRF including four related to 

breastfeeding/chestfeeding and 

premastication risk behaviors and one 

variable related to documentation of 

laboratory results in a person’s labor 

and delivery record; response options 

for the existing delivery method variable 

was revised on the PCRF to align with 

current medical practices. Health 

departments will now use the one 

revised PCRF form to report perinatal 

exposures and pediatric case reports 

and the revised burden for both 

perinatal exposure reporting and 

pediatric case reporting is now 

combined and included under the PCRF 

form line. The number of respondents 

reporting pediatric case reports is 59 

and a subset of those jurisdictions that 

have perinatal exposure reporting will 

also report some perinatal exposure 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 87, No. 63 / Friday, April 1, 2022 / Notices 19099 

information using the revised PCRF 

form and the PCRF burden estimate has 

been revised to account for this 

reporting. The time per response for the 

PCRF has been revised from 20 minutes 

to 35 minutes on average per response 

to reflect these changes and increased 

reporting of perinatal exposure data 

elements. HIV Incidence data collection 

as anticipated in the previous revision 

was not implemented and is being 

discontinued as a separate activity. HIV 

incidence continues to be estimated by 

CDC via statistical methods. No other 

revisions to the other data collection 

forms for this ICR are proposed. Burden 

estimates have been updated to reflect 

the discontinuation of incidence data 

collection, discontinued use of the 

PHER form for perinatal exposure 

reporting, and revised PCRF which will 

be used for both perinatal exposure 

reporting and pediatric case reporting. 

In addition, the revised burden estimate 

includes small increases in burden for 

case and laboratory updates, 

deduplication activities and case 

investigations due to the increasing 

number of persons living with HIV for 

which additional laboratory and case 

information is reported and linkage to 

care activities are conducted. The 

burden estimates for case reports 

decreased slightly since the last OMB 

approval due to decreases in adult and 

pediatric HIV diagnoses reported. 

CDC provides funding for 59 

jurisdictions to provide adult and 

pediatric HIV case reports. Additional 

information on perinatal exposures is 

also reported in a subset of jurisdictions 

when reportable using the same 

pediatric case report form and used to 

monitor progress toward perinatal HIV 

elimination goals. Health department 

staff compile information from 

laboratories, physicians, hospitals, 

clinics, and other health care providers 

to complete the HIV adult and pediatric 

case reports. CDC estimates that 

approximately 789 adult HIV case 

reports and 57 perinatal exposure and 

pediatric case reports are processed by 

each health department annually. 

These data are recorded using 

standard case report forms either on 

paper or electronically and entered into 

the electronic reporting system. Updates 

to case reports are also entered into the 

reporting system by health departments 

as additional information may be 

received from laboratories, vital 

statistics, or additional providers. 

Evaluations are also conducted by 

health departments on a subset of case 

reports (e.g. re-abstraction, validation). 

CDC estimates that on average 

approximately 85 evaluations of case 

reports, 2,519 updates to case reports 

and 10,130 updates of electronic 

laboratory test data will be processed by 

each of the 59 health departments 

annually. In addition, all 59 health 

departments will conduct routine 

deduplication activities for new 

diagnoses and cumulative case reports. 

CDC estimates that health departments 

on average will follow-up on 3,032 

reports as part of deduplication 

activities annually. Case report 

information compiled over time by 

health departments is then de-identified 

and forwarded to CDC on a monthly 

basis to become part of the national HIV 

surveillance database. 

Additional information will be 

reported by health departments for 

monitoring and evaluation of health 

department investigations including 

activities identifying persons who are 

not in HIV medical care and linking 

them to HIV medical care (e.g., Data-toCare activities) and other services and 

identifying and responding to clusters. 

CDC estimates health departments will 

on average process 929 responses 

related to investigation reporting and 

monitoring annually. 

Clusters of HIV are groups of persons 

related by recent, rapid transmission, for 

which rapid response is needed in order 

to intervene to interrupt ongoing 

transmission and prevent future HIV 

infections. Health departments may 

detect clusters through multiple means, 

including through routine analyses of 

Surveillance data and other data 

reported to the NHSS. Data on clusters 

of recent and rapid HIV transmission in 

the United States will be collected to 

monitor situations necessitating public 

health intervention, assess health 

department response, and evaluate 

outcomes of intervention activities. 

These summary data will be collected 

through quarterly cluster report forms 

that will be completed by health 

departments for clusters that they have 

identified and for which they are 

actively conducting response activities. 

Health departments with detected 

clusters will complete an initial cluster 

report form when a cluster is first 

identified, a cluster follow-up form for 

each quarter in which the cluster 

response remains active and a cluster 

close-out form when cluster response 

activities are closed or at annual 

intervals while a cluster response 

remains active. CDC estimates on 

average health departments will provide 

information for 2.5 cluster initial cluster 

reports, five Cluster Follow-up Form 

reports, and 2.5 Cluster Close-out Form 

reports annually. 

The Standards Evaluation Report 

(SER) is used by CDC and Health 

Departments to improve data quality, 

interpretation, usefulness, and 

surveillance system efficiency, as well 

as to monitor progress toward meeting 

surveillance program objectives. The 

information collected for the SER 

includes a brief set of questions about 

evaluation outcomes and the collection 

of laboratory data that will be reported 

one time a year by each 59 health 

departments. 

CDC requests OMB approval for an 

estimated 60,731 annual burden hours 

in this 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 hr) 

Total burden 

(in hr) 

Health Departments .......................... Adult HIV Case Report (ACRF) ....... 59 789 20/60 15,517 

Health Departments .......................... Perinatal Exposure and Pediatric 

HIV Case Report (PCRF).

59 57 35/60 1,962 

Health Departments .......................... Case Report Evaluations ................. 59 85 20/60 1,672 

Health Departments .......................... Case Report Updates ...................... 59 2,519 2/60 4,954 

Health Departments .......................... Laboratory Updates .......................... 59 10,130 0.5/60 4,981 

Health Departments .......................... Deduplication Activities .................... 59 3,032 10/60 29,815 

Health Departments .......................... Investigation Reporting and Evaluation.59 929 1/60 914 

Health Departments .......................... Initial Cluster Report Form ............... 59 2.5 1 148 

Health Departments .......................... Cluster Follow-up Form .................... 59 5 0.5 148 


lotter on DSK11XQN23PROD with NOTICES1
19100 Federal Register / Vol. 87, No. 63 / Friday, April 1, 2022 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hr) 

Total burden 

(in hr) 

Health Departments .......................... Cluster Close-out Form .................... 59 2.5 1 148 

Health Departments .......................... Annual Reporting: Standards Evaluation Report (SER).59 1 8 472 

Total ........................................... ........................................................... ........................ ........................ ........................ 60,731 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2022–06917 Filed 3–31–22; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–22–22DT; Docket No. CDC–2022– 

0040] 

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), located 

within the Department of Health and 

Human Services (HHS), 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 Baseline Survey 

of National Education and Awareness 

Social Marketing Campaign: Employer 

Efforts to Support the Mental Health of 

Health Workers. This project is designed 

to conduct an electronic survey with 

healthcare workers and healthcare 

employers to establish a baseline to 

measure intended campaign outcomes. 

DATES: CDC must receive written 

comments on or before May 31, 2022. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2022– 

0040, 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, MS 

H21–8, 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; 

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 

Baseline Survey of National 

Education and Awareness Social 

Marketing Campaign: Employer Efforts 

to Support the Mental Health of Health 

Workers—New—National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

NIOSH is requesting approval of a 

new data collection for a period of one 

year under the project titled Baseline 

Survey of National Education and 

Awareness Social Marketing Campaign: 

Employer Efforts to Support the Mental 

Health of Health Workers. As part of the 

COVID–19 American Rescue Plan of 

2021 and in response to a Congressional 

mandate, NIOSH is taking an active 

stance to address mental health 

concerns, to include substance use 

disorders, among the more than 20 

million workers in the nation’s 

healthcare sector. NIOSH, the federal 

agency tasked with conducting research 

to contribute to reductions in 

occupational illnesses, injuries, and 

hazards, plans to conduct a national 

social marketing campaign to promote 

awareness and education of employers 

and health workers about mental health. 

By conducting a national social 

marketing campaign, NIOSH intends to 

reach both health employers and health 

workers with information about 

organizational programs, services, 

policies, and practices to support 

worker mental health and the 


lotter on DSK11XQN23PROD with NOTICES1