[Federal Register Volume 87, Number 109 (Tuesday, June 7, 2022)]
[Notices]
[Pages 34689-34690]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-12146]


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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 non-substantive 
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)

[[Page 34690]]

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 multi-purpose 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
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
RCC Director/Designated Staff Member..  RCC Provider                       1,045               1           30/60
                                         Questionnaire.
ADSC Director/Designated Staff Member.  ADSC Provider                        875               1           30/60
                                         Questionnaire.
RCC Director/Designated Staff Member..  RCC Services User                  1,045               1           30/60
                                         Questionnaire.
ADSC Director/Designated Staff Member.  ADSC Services User                   875               1           30/60
                                         Questionnaire.
RCC/ADSC Subject Matter Experts.......  EHRs Subject Matter                   10               1               1
                                         Expert Interview.
----------------------------------------------------------------------------------------------------------------


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