51892 Federal Register / Vol. 86, No. 178 / Friday, September 17, 2021 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–21–21HZ; Docket No. CDC–2021– 

0097] 

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 Reducing Fatigue Among Taxi 

Drivers. The goal of the proposed 

collection is to evaluate two 

interventions, a training and a wristdevice that provides personalized daily 

fatigue scores, designed to enable taxi 

drivers to reduce their fatigue levels. 

This research study involves two parts: 

Development of a fatigue management 

eLearning training tool designed for 

drivers-for-hire (e.g., taxi drivers; ride 

sourcing drivers); and an evaluation of 

the effectiveness of this training alone 

and paired with the wrist-device that 

provides personalized daily fatigue 

scores. 

DATES: CDC must receive written 

comments on or before November 16, 

2021. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2021– 

0097 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, 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, 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 

Reducing Fatigue Among Taxi 

Drivers—New—National Institute for 

Occupational Safety and Health, Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

Taxi drivers routinely work long 

hours and late night or early morning 

shifts. Shift work and long work hours 

are linked to many health and safety 

risks due to disturbances to sleep and 

circadian rhythms. Fatigue is a 

significant contributor to transportationrelated injuries, most notably among 

shift workers. Such work schedules and 

inadequate sleep likely contribute to 

health issues and injuries among taxi 

drivers, who experience a roadway 

fatality rate 3.5 times higher than all 

civilian workers and had the highest 

rate of nonfatal work-related motor 

vehicle injuries treated in emergency 

departments. The urban and interurban 

transportation industry ranks the third 

highest in costs per employee for motor 

vehicle crashes. Tired drivers endanger 

others on the road (e.g., other drivers, 

passengers, bicyclists, pedestrians) in 

addition to themselves and their 

passengers. An important approach to 

reducing fatigue-related risks is to 

inform employers and taxi drivers about 

the risks and strategies to reduce their 

risks. The purpose of this project is to 

develop and evaluate a training program 

to inform taxi drivers, and other drivers 

for hire who transport passengers, of the 

risks linked to shift work and long work 

hours and evaluate strategies for taxi 

drivers to reduce these risks. 

The proposed study site will be the 

Flywheel Taxi Company in San 

Francisco, with approximately 500 

drivers, who have agreed to share data 

collected on the study participants. The 

recruitment of 180 study participants 

and data collection onsite will be 

performed by a NIOSH contractor 

trained by the NIOSH project personnel. 

This research study involves two parts: 

Development of a fatigue management 

eLearning Training Tool designed for 

drivers-for-hire (e.g., taxi drivers; ride 

sourcing drivers); and an evaluation of 

the use of this tool as an intervention. 

The training tool will educate drivers 

about fatigue as a risk factor for motor 

vehicle crashes, the negative health and 

safety effects of fatigue, and how to 

reduce fatigue by improving sleep, 

health, nutrition, and work schedules. 

There will be pre- and post-module 

knowledge tests to evaluate the training. 

The training will be offered online, free 

of charge, and will be viewable on 

multiple platforms (e.g., smartphone, 

tablet, laptop). All participants will also 

wear a wristband actigraph used to 

measure sleep/wake cycles, which will 

serve as a second intervention. The 

actigraph data will provide a 

personalized daily measure of fatigue 

each participant can use as an external 

prompt to assess individual fatigue 

levels and trigger self-reflection on 

fitness to drive and act accordingly. A 

randomized pre-post with control group 

longitudinal study design will evaluate 

Federal Register / Vol. 86, No. 178 / Friday, September 17, 2021 / Notices 51893 

the training and the driver’s response to 

feedback from the actigraph. 

Specifically, there are two intervention 

groups: (1) Training plus actigraph 

fatigue level feedback and (2) training 

only with wearing actigraph but no 

fatigue level feedback. The control 

group will receive neither training nor 

feedback on fatigue levels from their 

actigraph. Participants will complete a 

baseline and follow-up Work and Health 

survey, sleep and activities diaries, and 

sleep health knowledge questions 

during each of 5 observation periods. 

The Work and Health survey 

administered in the first observation 

period will be more comprehensive and 

the abbreviated follow up Work and 

Health surveys administered for the 

remaining observation periods will 

serve to capture only responses to 

questions that can change from one 

observation period to the next. Only 

participants randomly selected to take 

the training will complete a training 

evaluation survey used to strengthen the 

training’s effectiveness. Data will also be 

collected from company installed invehicle monitoring systems on safety 

critical events (e.g., hard braking, 

speeding) already collected on all 

drivers as a direct measurement of 

fatigue-related driving performance 

events used to validate self-report data. 

As part of their daily sleep and health 

diaries drivers will be asked to complete 

three-minute psychomotor vigilance 

tests (PVTs) five times throughout the 

day, to directly measure alertness using 

an app installed on an electronic device. 

At the end of the data collection period 

the training will be offered to the 

remaining study participants who will 

be provided an opportunity, but no 

remuneration, to complete the training 

and training survey. 

Study staff will use the findings from 

this evaluation to improve the training 

program, including content and 

delivery, as well as compare fatigue 

between intervention groups. Potential 

impacts of this project include 

improvements in work behaviors for 

coping with shift work and long work 

hours and an objective reduction in 

fatigue compared to the control groups. 

This project is poised to have 

considerable impact in the contribution 

of an evidence base for effective 

interventions that could be used by 

other taxi companies and drivers for 

ride sourcing companies to promote 

strategies in road safety. 

The burden table lists that 120 of the 

180 taxi drivers in the study will 

complete the online training and 

evaluation (approximately three hours). 

All drivers (180) will complete the Work 

and Health survey, and the knowledge 

survey each week of the study (five 

times each per participant). Each 

participant will complete the sleep and 

activity diary five times a day, each day 

for 35 days (175 times total) which will 

require approximately two minutes for 

each response. There will also be three 

meetings for recruitment and enrollment 

(once), fitting the actigraph (weekly), 

and a final meeting (weekly). The total 

estimated annualized burden is 

anticipated to be 2,700 hours. There are 

no costs to participants 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) 

Taxi Drivers ....................................... Online Training & Evaluation ........... 120 1 3 360 

Sleep & Activities Diary .................... 180 175 2/60 1,050 

Work & Health Survey ..................... 180 5 45/60 675 

Knowledge survey ............................ 180 5 15/60 225 

Recruitment & Informed Consent .... 180 1 30/60 90 

Initial Meeting (Fit Actigraph) ........... 180 5 10/60 150 

10-minute meeting (turn in devices, 

turn in diary, receive remuneration).

180 5 10/60 150 

Total ........................................... ........................................................... ........................ ........................ ........................ 2,700 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–20155 Filed 9–16–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Notice of Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended, and the Determination of 

the Director, Strategic Business 

Initiatives Unit, Office of the Chief 

Operating Officer, CDC, pursuant to 

Public Law 92–463. The grant 

applications and the discussions could 

disclose confidential trade secrets or 

commercial property such as patentable 

material, and personal information 

concerning individuals associated with 

the grant applications, the disclosure of 

which would constitute a clearly 

unwarranted invasion of personal 

privacy. 

Name of Committee: Disease, 

Disability, and Injury Prevention and 

Control Special Emphasis Panel (SEP)– 

RFA–OH–20–002, Commercial Fishing 

Occupational Safety Research 

Cooperative Agreement; and RFA–OH– 

20–003, Commercial Fishing 

Occupational Safety Training Project 

Grants. 

Date: November 03, 2021. 

Time: 1:00 p.m.–3:00 p.m., EDT. 

Place: Video-Assisted Meeting. 

Agenda: To review and evaluate grant 

applications. 

For Further Information Contact: Dan 

Hartley, Ed.D., Scientific Review 

Officer, Office of Extramural Programs, 

National Institute for Occupational 

Safety and Health, CDC, 1095 

Willowdale Road, Morgantown, West 

Virginia 26505, Telephone: (304) 285– 

5812; Email: DHartley@cdc.gov. 

The Director, Strategic Business 

Initiatives Unit, Office of the Chief 

Operating Officer, Centers for Disease 

Control and Prevention, has been