52952 Federal Register / Vol. 75, No. 167 / Monday, August 30, 2010 / Notices 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Data collection mode Number of 

respondents 

Number of 

responses per 

respondent 

Hours 

per response 

Total 

burden 

hours 

Total .......................................................................................................... 800 na na 400 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Data collection mode Number of 

respondents 

Total 

burden 

hours 

Average 

hourly 

wage rate* 

Total 

cost 

burden 

Surveys with Parents of Children < 8 years of age ......................................... 300 150 $20.90 $3,135 

Surveys with Adolescents (13 to 20 years of age) ......................................... 200 100 20.90 2,090 

Surveys with Adults (20 to 65 years) .............................................................. 150 75 20.90 1,568 

Surveys with Adults (greater than 65 years) ................................................... 150 75 20.90 1,568 

Total .......................................................................................................... 800 400 na 8,361

* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United States, May 2009, ‘‘U.S. Department of Labor, Bureau of Labor Statistics. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated 

annualized cost to the Federal 

government for this six-month project. 

The total cost is $280,269. This amount 

includes all direct and indirect costs of 

the design, data collection, analysis, and 

reporting phase of the study. 

EXHIBIT 3—ESTIMATED ANNUALIZED

COST

Cost component Total 

cost 

Project Development ...................... $33,590 

Data Collection Activities ................ 85,760 

Data Processing and Analysis ....... 30,800 

Publication of Results ..................... 750 

Project Management ...................... 31,093 

Overhead ........................................ 98,276 

Total ......................................... 280,269 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ healthcare research and 

healthcare information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: August 23, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–21498 Filed 8–27–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–10–09BV] 

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 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 

Workload Management Study of 

Central Cancer Registries—New— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

CDC currently supports the National 

Program of Cancer Registries (NPCR), a 

group of central cancer registries in 45 

states, the District of Columbia, and 2 

territories. The central cancer registries 

are data systems that collect, manage, 

and analyze data about cancer cases and 

cancer deaths. NPCR-funded central 

cancer registries submit populationbased cancer incidence data to CDC on 

an annual basis (OMB No. 0920–0469, 

exp. 11/30/2012). 

Central cancer registries report that 

they are chronically understaffed, and 

many registries are concerned about the 

impact of staff shortages on data quality. 

Staffing patterns are known to vary 

widely from registry to registry, and 

registries differ in the volume of cases 

that they process as well as their use of 

information technology. Cancer 

registries have asked for clear staffing 

guidelines based on registry 

characteristics such as size, degree of 

automation, and reporting procedures. 

CDC proposes to conduct a one-time 

Workload and Time Management 

(WLM) Survey to inform the 

development of staffing guidelines for 

central cancer registries. Respondents 

will be 46 cancer registrars in the NPCRfunded central cancer registries in 45 

states and the District of Columbia. 

Participation will be requested by email. Non-responders will receive 

follow-up telephone calls to encourage 

participation. 

The WLM survey includes basic 

questions about registry characteristics 

such as organizational affiliation and 

number of staff. The WLM also includes 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 167 / Monday, August 30, 2010 / Notices 52953 

questions about the caseload for the 

registry (the number of new cancer cases 

reported annually), the sources of case 

information, whether case information 

is collected utilizing manual or 

electronic methods, and the type of 

software employed for electronic 

collection. Because many tasks can be 

performed manually or using electronic 

methods, and because cancer coding 

systems are frequently revised to reflect 

changes in cancer diagnosis and care, 

the WLM survey asks registry managers 

to identify training needs that would 

improve registry productivity, and to 

provide comments about other resource 

needs and management issues. 

The web-based WLM Survey will also 

collect information about the total 

amount of time dedicated by registry 

staff to specific activities such as case 

finding, records abstraction, follow-up, 

quality assurance, professional 

development, travel, and death 

clearances. In order to complete this 

section of the WLM survey, detailed 

information will be collected from 

registry staff. An average of eight 

registrars in each registry will be asked 

to maintain a paper Work Activities 

Journal for a one-week period. Each 

registrar will record the number of 

hours and minutes dedicated to case 

finding, records abstraction, follow-up, 

and quality assurance, and where 

applicable, indicate whether tasks were 

conducted manually or electronically. 

In addition, each registrar will estimate 

the amount of time dedicated to 

auditing, database management, 

professional development, travel, and 

death clearances on a monthly or annual 

basis. At the end of the one-week data 

collection period, the registry manager 

will compile information from all of the 

Work Activities Journals completed by 

the registry’s staff. The aggregate 

information will be reported to CDC 

through the WLM Survey. The 

individual Work Activities Journals will 

not be submitted to CDC. 

Findings from the WLM survey will 

enable CDC to assess the workforce 

necessary for meeting data reporting 

requirements and to estimate the impact 

of planned changes to surveillance data 

reporting. CDC plans to develop 

guidance so that cancer registry 

managers can more effectively measure 

workload, evaluate the need for staff 

and staff credentials, and advocate for 

adequate staffing. 

OMB approval is requested for one 

year. Participation in the survey is 

voluntary. There are no costs to 

respondents other than their time. The 

total estimated annualized burden hours 

are 921. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

NPCR managers ............................................. Workload and Time Management Survey ..... 46 1 4 

Telephone Reminder ...................................... 15 1 3/60 

NPCR Staff Registrars .................................... Work Activities Journal ................................... 368 1 2 

Dated: August 23, 2010. 

Maryam I. Daneshvar, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2010–21496 Filed 8–27–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–10–10AK] 

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 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 20503 or by fax to (202) 395–5806. 

Written comments should be received 

within 30 days of this notice. 

Proposed Project 

National Notifiable Condition 

Messaging Support Strategy—New— 

Public Health Surveillance Program 

Office (PHSPO); Office of Surveillance, 

Epidemiology, and Laboratory Services 

(OSELS), Centers for Disease Control 

and Prevention, (CDC). 

Background and Brief Description 

The Public Health Services Act (42 

U.S.C. 241) authorizes CDC to 

disseminate nationally notifiable 

condition information. CDC’s Morbidity 

and Mortality Weekly Report publishes 

incidence tables for nationally notifiable 

conditions reported through the 

National Electronic Disease Surveillance 

System (NEDSS) and other surveillance 

data sources to the National Notifiable 

Diseases Surveillance System (NNDSS). 

NEDSS (OMB 0920–0728, expiration 

date: 2/28/2010) is an internet-based 

infrastructure for public health 

surveillance data exchange that uses 

specific Public Health Information 

Network (PHIN) and NEDSS electronic 

data and information standards to 

advance the development of efficient, 

integrated, and interoperable 

surveillance systems at federal, state 

and local levels. CDC’s proposed Public 

Health Surveillance Program Office 

(PHSPO) is responsible for establishing 

and managing the national reporting 

system of epidemiologic data for 

notifiable conditions (diseases) via 

NEDSS. 

Case notification messaging for most 

of the nationally notifiable conditions 

(77 infectious conditions as of August 

2009) will eventually be supported by 

the standard Health Level 7 v2.5 (HL7) 

message format. The HL7 message 

format requires a Message Mapping 

Guide (MMG)—developed by the 

NEDSS and NNDSS programs, in 

collaboration with state and federal 

subject matter experts—to implement 

case notification to CDC via NEDSS. At 

present, seven MMGs are available for 

implementation by jurisdictions, and 

current NEDSS resources support the 

development of three new MMGs per 

year. A jurisdiction’s implementation of 

a MMG requires an average of four 

months per MMG, and a jurisdiction 

could potentially implement up to three 

MMGs a year. In most instances, 

National Center for Public Health 

Informatics’ (NCPHI) programmatic and 

technical expertise is required to 

support this process at the jurisdictional 

level. 

The National Notifiable Condition 

Messaging Support Strategy 


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