Federal Register / Vol. 75, No. 86 / Wednesday, May 5, 2010 / Notices 24705 

demand for accurate information about 

rates of screening, referral, loss to 

follow-up, and prevalence. This 

information is important for: (a) Helping 

to ensure infants and children are 

receiving recommended screening and 

follow-up services, (b) identifying 

reasons for not receiving recommended 

services and (c) documenting the 

occurrence of differing degrees of HL 

among infants. These data will also 

assist the States in Early Hearing 

Detection and Intervention (EHDI) 

programs with quality improvement 

activities and provide information that 

will be helpful in assessing the impact 

of Federal initiatives. The public will be 

able to access this information via the 

CDC EHDI Web site (http:// 

www.cdc.gov/ncbddd/ehdi). 

Given the lack of a standardized and 

readily accessible source of data, the 

CDC EHDI program developed a survey 

to be used annually that utilizes 

uniform definitions to collect aggregate, 

standardized EHDI data from States and 

territories. The request to complete this 

survey is planned to be disseminated to 

57 respondents via an e-mail, which 

will include a summary of the request 

and other relevant information. We 

anticipate that about 50 of the 57 

coordinators will complete and return 

the survey. Minor changes to this 

survey, based on respondent feedback, 

are planned in order to make the survey 

easier to complete and further improve 

data quality. These changes include 

adding a question about how many 

infants with hearing loss are receiving 

only monitoring services, simplifying 

the table for reporting type and severity 

of hearing loss data, and expanding the 

maternal race categories in the 

demographic section. There are no costs 

to the respondents other than their time. 

The estimated annualized burden hours 

are 210. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of responses per 

respondent 

Average 

burden per 

response 

(in hours) 

EHDI Program State Program Coordinators Contacted ............................................................. 57 1 10/60 

EHDI Program State Program Coordinators Who Return the Survey ........................................ 50 1 4 

Dated: April 28, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–10587 Filed 5–4–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60 Day–10–10CV] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. 

Alternatively, to obtain a copy of the 

data collection plans and instrument, 

call 404–639–5960 and send comments 

to Maryam I. Daneshvar, CDC Reports 

Clearance Officer, 1600 Clifton Road, 

NE., MS–D74, Atlanta, Georgia 30333; 

comments may also be sent by e-mail to 

omb@cdc.gov. 

Comments are invited on (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have a 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarify of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of information technology. Written 

comments should be received within 60 

days of this notice. 

Proposed Project 

Early Aberration Reporting System 

(EARS) Registration Module—New— 

National Center for Emerging and 

Zoonotic Infectious Diseases (NCEZID) 

(proposed), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

To support two of CDC’s main priority 

areas: (1) Improving CDC’s support for 

state and local health departments, and 

(2) strengthening surveillance and 

epidemiology, CDC is requesting 

approval from the Office of Management 

and Budget (OMB) to improve the Early 

Aberration Reporting System (EARS) by 

collecting data from individuals who 

request a download of EARS from the 

CDC website. 

The Early Aberration Reporting 

System, developed within the Division 

of Bioterrorism Preparedness and 

Response, is a web-enabled tool that 

analyzes public health surveillance data 

using methods that detect abnormal 

trends that could possibly indicate an 

outbreak of infectious disease. The local 

public health professionals manage the 

entire tool and can implement the 

defaults or can adjust the tool in order 

to meet their local needs. The goal of 

this process is to assist public health 

professionals in the early identification 

of outbreaks of disease as well as 

bioterrorism events. EARS is used to 

assess whether the current number of 

reported cases of an event is higher than 

usual. 

The term syndromic surveillance is 

used to describe surveillance that uses 

health-related data that precede 

diagnosis and that signals a sufficient 

probability of a case or an outbreak of 

infectious disease to warrant further 

public health response. Syndromic 

surveillance systems are used by state, 

local, national and international health 

departments to monitor syndrome-based 

(e.g., case information collected in 

emergency departments (EDs) and 

diagnostic data sources for early 

detection of outbreaks and other public 

health events). More recently these 

systems are used during public health 

responses to provide more rapid near 

real-time situational awareness 

regarding the health status of the target 

population. EARS was the first software 

platform to support local syndromic 

surveillance systems. EARS has been 

designed and used to monitor 

syndromic data from emergency 

departments, 911 calls, physician office 

data, school and business absenteeism, 

over-the-counter drug sales, laboratory 

testing and results data and reportable 

disease surveillance systems. In the past 

several years, EARS systems have been 

integral in the local public health 

surveillance arsenal. EARS has been 

used at events such as the Beijing 

Summer Olympics; multiple 


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24706 Federal Register / Vol. 75, No. 86 / Wednesday, May 5, 2010 / Notices 

Superbowls (football) and World Series 

(baseball); the political conventions of 

both major US political parties; and the 

Presidential Inauguration (2009). 

Today, EARS is a highly successful 

and sustainable system and has over 200 

users at the Federal, State, local, and 

international levels. These users include 

international Ministries of Health and 

domestic state and local public health 

departments. Additionally, EARS 

detection methods have been integrated 

in well-known surveillance platforms 

such as BioSense at CDC, ESSENSE at 

Johns Hopkins, NAMRD at US 

Department of Defense, and Emergint at 

Northrop Grumman. 

EARS is widely-accepted and easily 

sustainable due to its being free to all 

end users, the capacity to use multiple 

forms of data, flexibility and user-driven 

design and maintenance. EARS is a 

service provided by CDC as share-ware 

and is available by download at no cost 

from the CDC Web site http:// 

www.bt.cdc.gov/surveillance/EARS. 

In an effort to continue to improve 

and enhance EARS, the collection of 

registration information is needed to 

track users and organizations to assist in 

future needs assessments. Requiring the 

users to register will provide CDC with 

contact information (i.e., e-mail 

addresses) to use for broadcast e-mails 

regarding new releases for upgrades and 

enhancements; track the number of 

users, the download frequency, and the 

type of data that users will monitor with 

EARS; and solicit users for feedback for 

future upgrades and enhancements. 

CDC estimates that there will be 150 

respondents registered for EARS. Each 

respondent will need an average of 10 

minutes to complete the EARS 

registration form which leads to a total 

public burden of 25 hours. 

There is no cost to respondents to 

participate in this program. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average burden per 

response 

(in hours) 

Total 

burden 

(in hours) 

Users ................................................................................................................ 150 1 10/60 25 

Dated: April 21, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–10586 Filed 5–4–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–10–0741] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call Maryam I. Daneshvar, the 

CDC Reports Clearance Officer, at (404) 

639–5960 or send an e-mail to 

omb@cdc.gov. Send written comments 

to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

The Study to Explore Early 

Development (SEED) (OMB No. 0920– 

0741 exp. 6/30/2010)—Revision— 

National Center on Birth Defects and 

Developmental Disabilities (NCBDDD), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

This data collection is based on the 

following components of the Public 

Health Service Act: (1) Act 42 U.S.C. 

241, Section 301, which authorizes 

‘‘research, investigations, experiments, 

demonstrations, and studies relating to 

the causes, diagnosis, treatment, control, 

and prevention of physical and mental 

diseases and impairments of man.’’ (2) 

42 U.S.C. 247b–4, Section 317 C, which 

authorizes the activities of the National 

Center on Birth Defects and 

Developmental Disabilities. This section 

was created by Public Law 106–310, 

also known as ‘‘the Children’s Health 

Act of 2000.’’ This portion of the code 

has also been amended by Public Law 

108–154, which is also known as the 

‘‘Birth Defects and Developmental 

Disabilities Prevention Act of 2003.’’ 

The Children’s Health Act of 2000 

mandated CDC to establish autism 

surveillance and research programs to 

address the number, incidence, 

correlates, and causes of autism and 

related disabilities. Under the 

provisions of this act, CDC funded five 

Centers for Autism and Developmental 

Disabilities Research and Epidemiology 

(CADDRE) including the California 

Department of Health and Human 

Services, Colorado Department of Public 

Health and Environment, Johns Hopkins 

University, the University of 

Pennsylvania, and the University of 

North Carolina at Chapel Hill. CDC 

National Center on Birth Defects and 

Developmental Disabilities participates 

as the sixth CADDRE site. The SEED 

multi-site, collaborative project is an 

epidemiological investigation of 

possible causes for the autism spectrum 

disorders. 

Study participants are to be selected 

from children born in and residing in 

the following six areas: Atlanta 

metropolitan area, San Francisco Bay 

area, Denver metropolitan area, 

Baltimore metropolitan area, 

Philadelphia metropolitan area, and 

Central North Carolina. Children with 

autism spectrum disorders are 

compared to children with other 

developmental problems, referred to as 

the neurodevelopmentally impaired 

group (NIC), as well as children who do 

not have developmental problems, 

referred to as the sub-cohort. 

Data collection methods consist of the 

following: (1) Medical record review of 

the child participant; (2) medical record 

review of the biological mother of the 

child participant; (3) packets sent to the 

participants with self-administered 

questionnaires and a buccal swab kit; (4) 

a telephone interview focusing on 

pregnancy-related events and early life 

history (biological mother and/or 

primary caregiver interview); (5) a child 

development evaluation (more 

comprehensive for case participants 

than for the control group participants); 

(6) parent-child development interview 

(for case participants only) administered 

over the telephone or in-person; (7) a 

physical exam of the child participant; 

(8) biological sampling of the child 

participant (blood and hair); and, (9) 


sroberts on DSKD5P82C1PROD with NOTICES