Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 2014 / Notices 64197 

A variety of agencies sponsor datacollection components on NHANES. To 

keep burden down, NCHS cycles in and 

out various components. The 2015–2016 

NHANES physical examination 

includes the following components: 

Oral glucose tolerance test (ages 12 and 

older), anthropometry (all ages), 24-hour 

dietary recall (all ages), physician’s 

examination (all ages, blood pressure is 

collected here), oral health examination 

(ages 1 and older), hearing (ages 20–59), 

dual X-ray absorptiometry (total body 

composition ages 6–59 and 

osteoporosis, vertebral fractures and 

aortic calcification ages 40 and older). 

The oral health examination includes 

the collection of an oral human 

papilloma virus (HPV) specimen on 

those ages 14–69. 

While at the examination center 

additional interview questions are asked 

(6 and older), and a second 24-hour 

dietary recall (all ages) is scheduled to 

be conducted by phone 3–10 days later. 

Beginning in 2015, collection of four 

additional oral HPV specimens will 

occur in the home at 6, 12, 18 and 24 

months after the first collection. 

Specimens will be returned via mail. 

The bio-specimens collected for 

laboratory tests include urine, blood, 

vaginal and penile swabs, oral rinses 

(HPV) and household water collection. 

Serum, plasma and urine specimens are 

stored for future testing if the 

participant consents. 

The following major examination or 

laboratory items, that had been included 

in the 2013–2014 NHANES, were cycled 

out for NHANES 2015–2016: Physical 

activity monitor, taste and smell 

component and upper body muscle 

strength (grip test). 

Most sections of the NHANES 

interviews provide self-reported 

information to be used either in concert 

with specific examination or laboratory 

content, as independent prevalence 

estimates, or as covariates in statistical 

analysis (e.g., socio-demographic 

characteristics). Some examples include 

alcohol, drug, and tobacco use, sexual 

behavior, prescription and aspirin use, 

and indicators of oral, bone, 

reproductive, and mental health. 

Several interview components support 

the nutrition monitoring objective of 

NHANES, including questions about 

food security and nutrition program 

participation, dietary supplement use, 

and weight history/self-image/related 

behavior. 

NHANES data users include the U.S. 

Congress; numerous Federal agencies 

such as other branches of the Centers for 

Disease Control and Prevention, the 

National Institutes of Health, and the 

United States Department of 

Agriculture; private groups such as the 

American Heart Association; schools of 

public health; and private businesses. 

There is no cost to respondents other 

than their time. The total estimated 

annualized burden hours are 43,525. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

per response 

(in hrs) 

Individuals in households ............................... NHANES Questionnaire ................................ 14,410 1 2 .5 

Individuals in households ............................... Special Studies ............................................. 2,500 1 3 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–25560 Filed 10–27–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–15–15CF] 

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. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–7570 or send 

comments to Leroy A. Richardson, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an email 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 

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 

clarity of the information to be 

collected; (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology; and (e) estimates of capital 

or start-up costs and costs of operation, 

maintenance, and purchase of services 

to provide information. Burden means 

the total time, effort, or financial 

resources expended by persons to 

generate, maintain, retain, disclose or 

provide information to or for a Federal 

agency. This includes the time needed 

to review instructions; to develop, 

acquire, install and utilize technology 

and systems for the purpose of 

collecting, validating and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information, to search 

data sources, to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Health Insurance Plans Research 

Study—New—Office of Health System 

Collaboration, Office of the Associate 

Director for Policy, Office of the 

Director, Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The Health Insurance Plans Research 

Study will uniquely examine the 

prevalence, characteristics, and 

differences of prevention and wellness 

programs offered by health insurance 

plans in this critical era of healthcare 

reform. There are no known studies that 

have addressed the prevalence of 

prevention and wellness programs 

across health plans or explored the 

granular details of these programs as 

this study is intended to do. Not 

conducting this study would be one less 

step toward increasing healthy years of 

life. 


asabaliauskas on DSK4SPTVN1PROD with NOTICES
64198 Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 2014 / Notices 

Furthermore, the Health Insurance 

Plans Research Study will address the 

priorities and goals of the CDC Office of 

the Associate Director for Policy, Office 

of Health System Collaboration: (a) 

Identify and catalyze policy 

opportunities such as the Affordable 

Care Act to enhance healthcare 

transformation, (b) advance CDC’s 

public health-healthcare strategy to 

improve population health, (c) 

strengthen strategic partnerships with 

healthcare systems and payers, federal 

and non-federal, and (d) fully leverage 

performance measures as a tool to 

improve the health of individuals across 

health systems and payers. 

The CDC Office of the Associate 

Director for Policy intends to request 

that the Office of Management and 

Budget (OMB) approve a new collection 

of information under the Paperwork 

Reduction Act for three years. This data 

collection will occur once, and 

respondents will be surveyed once. 

A sample of approximately 150 

commercial health insurance plans in 

the United States that differ by size and 

geography, in the 50 states and the 

District of Columbia, will be selected to 

complete a web-based survey, the 

Prevention and Wellness Assessment 

Survey. The survey will be completed 

electronically; the burden should be 

minimal as compared to a paper-andpencil survey. Information about the 

survey and instructions will be 

provided to health plan points of 

contact in advance and will also be 

available on the Web site, eliminating 

any interactions between the respondent 

and the project team, unless a 

respondent(s) has questions or concerns 

during completion of the survey. 

The survey will take approximately 

30 minutes to complete per respondent 

for a total estimated burden of 75 hours. 

Some burden associated with 

coordinating the time and identifying a 

person to take the survey will be 

imposed on key health plan contacts 

(e.g., medical directors, nurse directors, 

or other healthcare professional). The 

burden associated with this activity is 

estimated at 30 minutes per key health 

plan contact for a maximum of one key 

contact per health plan (1 key contact × 

150 health plans = 150 key contacts), 

resulting in a total burden of 75 hours. 

In addition, administrative support staff 

at select health plans may assist with 

coordinating communications between 

key health plan points of contact and 

AHIP; the estimated burden is 30 

minutes per health plan, resulting in a 

total burden of 75 hours. 

Following the analysis of survey data, 

the project team will conduct one-hour 

telephone interviews with no more than 

nine health plans (1 hour × 9 health 

plans) to gain a better understanding of 

lessons learned and best practices 

associated with the design and 

implementation of prevention and 

wellness programs by commercial 

health insurance plans. The project 

team will use this information to build 

upon the knowledge gained through the 

survey. For example, there may be 

differences in how health plans 

structure prevention and wellness 

programs for different employer 

accounts based on employer requests. 

The estimated burden is 1 hour per 

health plan, resulting in a total burden 

of 9 hours. 

As shown in the burden table, the 

total burden calculation in hours for key 

health plan points of contact, and health 

plan respondents (e.g., physicians, 

nurses, other healthcare professionals) 

and administrative support staff for this 

data collection is 234 hours. 

Best practices in outreach will be 

utilized to maximize survey response 

rates. Key health plan contacts at nonresponding health plans will receive 

follow up by telephone and one-to-one 

assistance will be provided if needed. 

The results of this study are of great 

interest not only to the CDC Office of 

the Associate Director for Policy but to 

other CDC Centers, Institutes, and 

Offices; and other federal agencies and 

partners such as the Health Resources 

and Services Administration (HRSA), 

the members of the CDC Advisory 

Committee to the Director, and the CDC 

Public Health-Health Care Collaboration 

Workgroup (federal, state, and local 

public health; public and private 

organizations; healthcare providers; 

professional membership associations; 

and academia representation). The 

government intends to accomplish the 

following as a result of this data 

collection: (a) Identify high priority 

opportunities for public health and 

healthcare collaboration, (b) inform a 

public health-healthcare strategic 

agenda, (c) improve the use of clinical 

preventive services, and (d) improve 

capacity of healthcare systems to 

incorporate public health practices and 

principles. At the conclusion of this 

study, a formal report, two issue briefs, 

and potentially a manuscript for 

publication will be produced. 

CDC is requesting approval for 

approximately 234 burden hours 

annually. There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number 

respondents 

Number 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Physician, Nurse, or Other 

Healthcare Professional (To Complete Survey).

Prevention and Wellness Assessment Survey.150 1 30/60 75 

Key Health Plan Contact .................. N/A ................................................... 150 1 30/60 75 

Administrative Support ...................... N/A ................................................... 150 1 30/60 75 

Physician, Nurse, or Other 

Healthcare Professional (To Complete 1-hour Interview Post Survey).

N/A ................................................... 9 1 1 9 

Total ........................................... ........................................................... ........................ ........................ ........................ 234 


asabaliauskas on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 208 / Tuesday, October 28, 2014 / Notices 64199 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–25561 Filed 10–27–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–15–0213] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

The Centers for Disease Control and 

Prevention (CDC), as part of its 

continuing effort to reduce public 

burden, invites the general public and 

other Federal agencies to take this 

opportunity to comment on proposed 

and/or continuing information 

collections, as required by the 

Paperwork Reduction Act of 1995. To 

request more information on the below 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, call 404–639–7570 or send 

comments to Leroy A. Richardson, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an email to omb@cdc.gov. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget (OMB) 

approval. 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 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 clarity of the 

information to be collected (d) ways to 

minimize the burden of the collection of 

information on respondents, including 

through the use of automated collection 

techniques or other forms of information 

technology; and (e) estimates of capital 

or start-up costs and costs of operation, 

maintenance, and purchase of services 

to provide information. Burden means 

the total time, effort, or financial 

resources expended by persons to 

generate, maintain, retain, disclose or 

provide information to or for a Federal 

agency. This includes the time needed 

to review instructions; to develop, 

acquire, install and utilize technology 

and systems for the purpose of 

collecting, validating and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information, to search 

data sources, to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

National Vital Statistics Report Forms 

(OMB No. 0920–0213, expires 04/30/

2015)—Extension—National Center for 

Health Statistics (NCHS), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The compilation of national vital 

statistics dates back to the beginning of 

the 20th century and has been 

conducted since 1960 by the Division of 

Vital Statistics of the National Center for 

Health Statistics, CDC. The collection of 

the data is authorized by 42 U.S.C. 242k. 

This submission requests approval to 

collect the monthly and annually 

summary statistics for three years. 

The Monthly Vital Statistics Report 

forms provide counts of monthly 

occurrences of births, deaths, infant 

deaths, marriages, and divorces. Similar 

data have been published since 1937 

and are the sole source of these data at 

the National level. The data are used by 

the Department of Health and Human 

Services and by other government, 

academic, and private research and 

commercial organizations in tracking 

changes in trends of vital events. 

Respondents for the Monthly Vital 

Statistics Reports Form are registration 

officials in each State and Territory, the 

District of Columbia, and New York 

City. In addition, local (county) officials 

in New Mexico who record marriages 

occurring and divorces and annulments 

granted in each county of New Mexico 

will use this form. This form is also 

designed to collect counts of monthly 

occurrences of births, deaths, infant 

deaths, marriages, and divorces 

immediately following the month of 

occurrence. 

The Annual Vital Statistics 

Occurrence Report Form collects final 

annual counts of marriages and divorces 

by month for the United States and for 

each State. The statistical counts 

requested on this form differ from 

provisional estimates obtained on the 

Monthly Vital Statistics Report Form in 

that they represent complete counts of 

marriages, divorces, and annulments 

occurring during the months of the prior 

year. These final counts are usually 

available from State or county officials 

about eight months after the end of the 

data year. The data are widely used by 

government, academic, private research, 

and commercial organizations in 

tracking changes in trends of family 

formation and dissolution. Respondents 

for the Annual Vital Statistics 

Occurrence Report Form are registration 

officials in each State and Territory, the 

District of Columbia, and New York 

City. 

There are no costs to respondents 

other than their time. The total 

estimated annualized burden hours are 

211. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

hours 

State, Territory, and New Mexico 

County Officials.

Monthly Vital Statistics Report ......... 91 12 10/60 182 

State, Territory, and other officials ... Annual Vital Statistics Occurrence 

Report.

58 1 30/60 29 

Total ........................................... ........................................................... ........................ ........................ ........................ 211 


asabaliauskas on DSK4SPTVN1PROD with NOTICES