65970 Federal Register / Vol. 79, No. 215 / Thursday, November 6, 2014 / Notices 

The objectives for this surveillance 

system are two-fold. First, the HHLPSS 

allows CDC to systematically track how 

the state and local programs conduct 

case management and follow-up of 

residents with housing-related health 

outcomes. Second, the system allows for 

identification and collection of 

information on other housing-related 

risk factors. Childhood and adult lead 

poisoning is just one of many adverse 

health conditions that are related to 

common housing deficiencies. Multiple 

hazards in housing (e.g., mold, vermin, 

radon and the lack of safety devices) 

continue to adversely affect the health 

of residents. HHLPSS offers a 

coordinated, comprehensive, and 

systematic public health approach to 

eliminate multiple housing-related 

health hazards. 

HHLPSS enables flexibility to 

evaluate housing where the risk for lead 

poisoning is high, regardless of whether 

children less than 6 years of age 

currently reside there. Thus HHLPSS 

supports CDC efforts for primary 

prevention of childhood and adult lead 

poisoning. Over the past several decades 

there has been a remarkable reduction 

in environmental sources of lead, 

improved protection from occupational 

lead exposure, and an overall decreasing 

trend in the prevalence of elevated 

blood lead levels (BLLs) in U.S. adults. 

As a result, the U.S. national BLL 

geometric mean among adults was 1.2 

mg/dL during 2009–2010. Nonetheless, 

lead exposures continue to occur at 

unacceptable levels. Current research 

continues to find that BLLs previously 

considered harmless can have harmful 

effects in adults, such as decreased renal 

function and increased risk for 

hypertension and essential tremor at 

BLLs <10 mg/dL. 

There is no cost to respondents other 

than their time. The total estimated 

annual burden hours is 640. 

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, Local, and Territorial Health 

Departments.

Healthy Homes and Lead Poisoning 

Surveillance System (HHLPSS) 

Variables.

40 4 4 640 

Total ........................................... ........................................................... ........................ ........................ ........................ 640 

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. 2014–26355 Filed 11–5–14; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–15–14HW] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) has submitted the 

following information collection request 

to the Office of Management and Budget 

(OMB) for review and approval in 

accordance with the Paperwork 

Reduction Act of 1995. The notice for 

the proposed information collection is 

published to obtain comments from the 

public and affected agencies. 

Written comments and suggestions 

from the public and affected agencies 

concerning the proposed collection of 

information are encouraged. Your 

comments should address any of the 

following: (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 or 

send an email to omb@cdc.gov. Written 

comments and/or suggestions regarding 

the items contained in this notice 

should be directed to the Attention: 

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 

Evaluating the Effectiveness of 

Interventions for Airplane Cargo 

Baggage Handling—New—National 

Institute for Occupational Safety and 

Health (NIOSH), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

The mission of the National Institute 

for Occupational Safety and Health 

(NIOSH) is to promote worker safety 

and health through research and 

prevention. Under Public Law 91–596, 

sections 20 and 22 (Section 20–22, 

Occupational Safety and Health Act of 

1970), NIOSH has the responsibility to 

conduct research to advance the health 

and safety of workers. In this capacity, 

NIOSH is seeking a three-year approval 

from the Office of Management and 

Budget (OMB) to conduct a study to 

assess the effectiveness and cost-benefit 

of engineering interventions for 

reducing musculoskeletal disorders 

(MSDs) among baggage handlers 

working at airports. 

In recent years (2009–2012), the 

overall annual incidence rate of workrelated injuries resulting in days away 

from work, job transfer, or restricted 

work in the airport passenger 

transportation industry was 

approximately 7%. This is one of the 

highest rates in all job categories tracked 

by the Bureau of Labor Statistics (BLS). 

A very large proportion of the injury 

cases in the airport passenger 

transportation industry are 

musculoskeletal disorders (MSDs), 

especially low back disorders, which 

were found primarily in baggage 

handlers working in the ramp or tarmac 

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Federal Register / Vol. 79, No. 215 / Thursday, November 6, 2014 / Notices 65971 

area, where airplanes are parked for 

services. 

Two interventions to be evaluated are 

the power stow (PS) and the vacuum lift 

(VL) systems. The PS is a semiautomatic conveyor to assist the user in 

transferring bags. The VL is a lifting 

assist hoist to assist in manual lifting. 

The PS will be used in the cargo 

compartments in the airplane, while the 

VL will be used for tasks required for 

transferring bags from a baggage cart to 

the conveyor connected to the cargo 

compartments. The systems will be 

evaluated through a prospective study 

design with a control group. 

An estimate of 960 ramp workers are 

planned to be recruited into the study. 

Stratified by their crew units (5 workers 

per crew), 60 of 960 ramp workers will 

be randomly chosen to use the 

interventions (30 in each intervention 

group). The remainder of 900 will serve 

as the control group. MSD risk and 

incidence data will be collected by a 

self-reported questionnaire at baseline, 

one and two years after implementation 

of the two interventions. Additional 

MSD symptoms and intervention 

compliance information will be 

requested monthly by a short mail-in 

questionnaire. The effectiveness of the 

interventions will be assessed by a 

reduction in MSD risks or incidence 

rates at the end of the two follow-up 

periods. The primary health outcomes 

from the questionnaires include selfreported musculoskeletal symptoms in 

multiple body regions (neck, shoulders, 

low back and knees), sickness, absence, 

and medical attention due to the 

symptoms. The annual questionnaire 

will be used to collect additional 

information (demographics, alcohol 

consumption, health problems, etc.), job 

demands (work method, time spent on 

each job position, etc.), and 

psychosocial job characteristics 

(perceived job stress, coworker support, 

etc.). The annual estimated time for 

completing the yearly questionnaire is 

30 minutes per person. 

Between the baseline and the second 

follow-up, a monthly mail-in short 

survey will be self-administered to 

collect additional information on 

participants’ work methods/postures 

and health outcomes in the preceding 

month. The effectiveness of the 

interventions will be evaluated by 

several health outcome measures 

including self-reported musculoskeletal 

pain symptoms in multiple body regions 

(neck, shoulders, low back and knees), 

sickness absence, and worker 

compensation costs in a two-year study 

period. The estimated time for 

completing the monthly questionnaire is 

10 minutes per person. 

A small portion of the study 

population (30 from the control, 30 from 

the PS and VL intervention groups, 

respectively) will be sampled for their 

work using a video task analysis 

method. Hand forces required for the 

recorded tasks will be measured by 

NIOSH to estimate operational hand 

forces for the tasks. WMSD risk data for 

each task will be determined by 

estimated working posture in the video 

recording and measured hand force data 

using a biomechanical model. Baggage 

weight information in the airline 

company baggage record system will be 

used to estimate the number of baggage 

handling operations per flight/day to 

estimate a cumulative risk. Through the 

prospective study design, a potential 

exposure-response relationship between 

the WMSD risk factors and WMSD 

incidence, adjusted for personal and 

psychosocial factors, will be evaluated 

for airport baggage handlers. There is no 

burden to respondents during video 

recording and hand force sampling 

because the video and force data 

collections will be conducted by NIOSH 

investigators without respondents’ 

involvement. 

An informed consent form will be 

collected one time during the initial 

enrollment period. Annualized, over the 

course of the three year study, this will 

be 320 participants completing the 

informed consent. An early exit phone 

interview will be conducted if the 

respondent decides to leave the study 

before the end date. A 20% early exit 

study rate during the entire study period 

of three years is estimated. This 

amounts to 64 participants completing 

the early exit interview annually. The 

number of respondents with missing 

data (approximately 5 questionnaire 

items across the annual and monthly 

questionnaires per respondent) is 

estimated to be 5% annually. Based on 

the above information and the 

frequencies of the annual and monthly 

surveys, the total estimated annualized 

burden is 2,436 hours. 

Once the study is completed, results 

will be made available through the 

NIOSH Internet site, trade journals and 

peer-reviewed publications. There is no 

cost to respondents other than their 

time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Airline baggage handlers in the ramp area .... Self-reported annual questionnaire survey for 

MSD symptoms and risk factors.

960 1 30/60 

Self-reported monthly questionnaire for MSD 

symptoms and work method.

960 12 10/60 

Informed Consent Form ................................. 320 1 5/60 

Follow-up on missing questionnaire data ...... 48 5 1/60 

Early Exit Interview ........................................ 64 1 5/60 

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. 2014–26353 Filed 11–5–14; 8:45 am] 

BILLING CODE 4163–18–P 

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