Federal Register / Vol. 87, No. 109 / Tuesday, June 7, 2022 / Notices 34689 

detailed epidemiologic data are critical 

to inform public health response. 

CDC is already receiving Aspergillus 

fumigatus isolates from laboratories 

across the nation, primarily through 

Antibiotic Resistance Laboratory 

Networks (ARLN) and sometimes 

directly from submitters. These isolates 

undergo testing for triazole resistance 

(defined using minimum inhibitory 

concentrations or epidemiologic cutoff 

values set forth by Clinical and 

Laboratory Standards Institute). For 

patients involving triazole-resistant 

isolates, we plan to use a standardized 

case report form (CRF) to collect public 

health surveillance data regarding 

demographics (e.g., age, sex, race/ 

ethnicity, country of residence), 

underlying medical conditions, 

treatments, and outcomes (e.g., vital 

status at 30 days for initial positive 

specimen). The CRF would be filled out 

voluntarily by state and local health 

departments and contains an optional 

supplement at the end involving a brief 

interview (including data on 

occupational and environmental 

exposures) of a patient or their 

representative. The findings would be 

used to describe the risk factors, clinical 

features, and outcomes for patients with 

triazole-resistance Aspergillus 

fumigatus. U.S. data on triazole-resistant 

Aspergillus fumigatus are lacking, 

although this problem constitutes a 

major public health threat. 

CDC requests OMB approval for an 

estimated eight annual burden hours. 

There is no cost to respondents other 

than their time to participate. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Public Health Officials, Clinicians ................... Triazole-resistant Aspergillus fumigatus Case 

Report Form.

15 1 30/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2022–12145 Filed 6–6–22; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–22–0943] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled ‘‘Data 

Collection for the Residential Care 

Community and Adult Day Services 

Center Components of the National 

Post-acute and Long-term Care Study’’ 

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 January 24, 2022 to obtain 

comments from the public and affected 

agencies. CDC received one nonsubstantive 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. 

Proposed Project 

Data Collection for the Residential 

Care Community and Adult Day 

Services Center Components of the 

National Post-acute and Long-term Care 

Study (OMB Control No. 0920–0943, 

Exp. 09/30/2023)—Revision—National 

Center for Health Statistics (NCHS), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, ‘‘shall collect 

statistics on health resources . . . [and] 

utilization of health care, including 

extended care facilities, and other 

institutions.’’ 

NCHS seeks approval to collect data 

for the residential care community 

(RCC) and adult day services center 

(ADSC) survey components of the sixth 

National Post-Acute and Long-Term 

Care Study or NPALS (formerly known 

as the National Study of Long-Term 

Care Providers or NSLTCP). 

The NPALS is designed to: (1) 

broaden NCHS’ ongoing coverage of 

paid, regulated long-term care (LTC) 

providers; (2) merge with existing 

administrative data on LTC providers 

and service users (e.g., Centers for 

Medicare and Medicaid Services (CMS) 

data on inpatient rehabilitation facilities 

and patients, long-term care hospitals 

and patients, nursing homes and 

residents, home health agencies and 

patients, and hospices and patients); (3) 


jspears on DSK121TN23PROD with NOTICES1
34690 Federal Register / Vol. 87, No. 109 / Tuesday, June 7, 2022 / Notices 

update data more frequently on LTC 

providers and service users for which 

nationally representative administrative 

data do not exist; and (4) enable 

comparisons across LTC sectors and 

timely monitoring of supply and use of 

these sectors over time. 

Data will be collected from national 

samples of two types of LTC providers 

in the 50 states and the District of 

Columbia: 2,090 RCCs and 1,750 

ADSCs. The RCC sampling frame will 

contain all of the state-licensed RCCs 

that are licensed for four or more beds. 

Participants in the ADSC component 

will be sampled from a comprehensive 

listing of ADSCs maintained by the 

National Adult Day Services 

Association (NADSA). 

Data were collected in 2012, 2014, 

2016, 2018, and 2020. The data to be 

collected in 2022 include the basic 

characteristics, services, staffing, and 

practices of RCCs and ADSCs, and the 

demographics, selected health 

conditions and health care utilization, 

physical functioning, and cognitive 

functioning of RCC residents and ADSC 

participants. The 2022 NPALS also 

includes interviews with subject matter 

experts about electronic health records 

(EHRs) use among ADSCs and RCCs and 

available EHRs data for them. 

Expected users of data from this 

collection effort include, but are not 

limited to, CDC; other DHHS agencies, 

such as the Office of the Assistant 

Secretary for Planning and Evaluation, 

The Administration for Community 

Living, and the Agency for Healthcare 

Research and Quality; associations, such 

as LeadingAge, National Center for 

Assisted Living, American Seniors 

Housing Association, Argentum, 

Advancing States, and National Adult 

Day Services Association; universities; 

foundations; and other private sector 

organizations such as the Alzheimer’s 

Association, the AARP Public Policy 

Institute, and the National Academies of 

Sciences, Engineering, and Medicine. 

Expected average burden for data 

collection is 60 minutes per respondent: 

30 minutes for a provider questionnaire 

and 30 minutes for a services user 

questionnaire. In addition, 20 

individuals with subject matter 

expertise in the use of electronic health 

records (HER) will be recruited to 

participate in a one-hour interview. 

Changes to be implemented in 2022 

include; reducing the number of 

sampled RCCs and ADCSs; use of a 

provider questionnaire and a services 

user questionnaire (instead of a multipurpose form); and minor changes to 

questions and response options to 

improve usability and data quality. 

OMB approval is requested for two 

years. The annualized estimates for 

number of respondents and burden 

hours are summarized below, assuming 

a 100% response rate. The total 

estimated annualized burden hours are 

1,932. Participation is voluntary and 

there is no cost to respondents other 

than their time to participate. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

RCC Director/Designated Staff Member ........ RCC Provider Questionnaire ......................... 1,045 1 30/60 

ADSC Director/Designated Staff Member ...... ADSC Provider Questionnaire ....................... 875 1 30/60 

RCC Director/Designated Staff Member ........ RCC Services User Questionnaire ................ 1,045 1 30/60 

ADSC Director/Designated Staff Member ...... ADSC Services User Questionnaire .............. 875 1 30/60 

RCC/ADSC Subject Matter Experts ............... EHRs Subject Matter Expert Interview .......... 10 1 1 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2022–12146 Filed 6–6–22; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Announcing the Intent To Award a 

Single-Source Supplement for the 

Amputee Coalition of America, Inc. for 

the National Limb Loss Resource 

Center Cooperative Agreement 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) announces the 

intent to award a single-source 

supplement to the current cooperative 

agreement held by the Amputee 

Coalition of America, Inc. for the 

National Limb Loss Resource Center 

(NLLRC). The purpose of this project is 

to expand on current grant activities 

occurring across communities. These 

activities include programs that promote 

independence, community living, and 

the adoption of healthy behaviors that 

promote wellness and prevent and/or 

reduce chronic conditions associated 

with limb loss and increase partnerships 

and collaborations with ACL programs 

that will benefit all people living with 

limb loss or limb differences. The 

administrative supplement for FY 2022 

will be for $490,698 bringing the total 

award for FY 2022 to $3,883,259. 

FOR MORE INFORMATION CONTACT: For 

further information or comments 

regarding this program supplement, 

contact Elizabeth Leef, U.S. Department 

of Health and Human Services, 

Administration for Community Living, 

Administration on Disabilities, Office of 

Disability Services Innovation: 

telephone (202) 475–2486 email: 

Elizabeth.leef@acl.hhs.gov. 

SUPPLEMENTARY INFORMATION: The 

additional funding will not be used to 

begin new projects. The funding will be 

used to enhance and expand existing 

programs that can serve an increased 

number of veterans and people living 

with limb loss and limb differences by 

providing increased technical assistance 

activities; promoting health and 

wellness programs; addressing 

healthcare access issues, including 

maternity care; promoting the adoption 

of healthy behaviors with the objective 

of preventing and/or reducing chronic 

conditions associated with limb loss; 

increasing partnerships and 

collaborations with ACL programs that 

will benefit all people living with limb 

loss or limb differences; enhancing and 

expanding the evaluation activities 

currently under way; and enhancing 

website capacities for improved 

information dissemination. 

Program Name: National Limb Loss 

Resource Center. 

Recipient: The Amputee Coalition of 

America, Inc. 

Period of Performance: The 

supplement award will be issued for the 

fourth year of the five-year project 

period of April 1, 2019, through March 

29, 2024. 


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