Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 71429 

attend the meeting should submit an 

inquiry via the NACCD Contact Form 

located at www.phe.gov/

NACCDComments. 

FOR FURTHER INFORMATION CONTACT: 

Please submit an inquiry via the NACCD 

Contact Form located at www.phe.gov/

NACCDComments. 

SUPPLEMENTARY INFORMATION: Pursuant 

to the Federal Advisory Committee Act 

(FACA) of 1972 (5 U.S.C., Appendix, as 

amended), and section 2811A of the 

Public Health Service (PHS) Act (42 

U.S.C. 300hh–10a), as added by section 

103 of the Pandemic and All Hazards 

Preparedness Reauthorization Act of 

2013 (Pub. L. 113–5), the HHS 

Secretary, in consultation with the 

Secretary of the U.S. Department of 

Homeland Security, established the 

National Advisory Committee on 

Children and Disasters (NACCD). The 

purpose of the NACCD is to provide 

advice and consultation to the HHS 

Secretary with respect to the medical 

and public health needs of children in 

relation to disasters. The Office of the 

Assistant Secretary for Preparedness 

and Response (ASPR) provides 

management and administrative 

oversight to support the activities of the 

NACCD. 

Background: This public meeting will 

be dedicated to the members voting to 

approve two task letters that the NACCD 

Chair received from the Assistant 

Secretary for Preparedness and 

Response. 

Availability of Materials: The meeting 

agenda and materials will be posted on 

the NACCD Web site at: www.phe.gov/ 

naccd prior to the meeting. 

Procedures for Providing Public Input: 

All written comments must be received 

prior to December 17, 2014. Please 

submit comments via the NACCD 

Contact Form located at www.phe.gov/

NACCDComments. Individuals who 

plan to attend and need special 

assistance should submit a request via 

the NACCD Contact Form located at 

www.phe.gov/NACCDComments. 

Dated: November 25, 2014 

Nicole Lurie, 

Assistant Secretary for Preparedness and 

Response. 

[FR Doc. 2014–28337 Filed 12–1–14; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–15–15FY] 

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 

State Health Department Access to 

Electronic Health Record Data from 

Healthcare Facilities during a 

Healthcare-Associated Infection 

Outbreak: A Retrospective 

Assessment—New—National Center for 

Emerging and Zoonotic Infections 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Two years ago, contaminated steroid 

injections caused the largest fungal 

meningitis outbreak in the United 

States, affecting 20 states and resulting 

in 751 infections and 64 deaths. The 

subsequent healthcare-associated 

infection (HAI) outbreak response 

required significant collaboration 

between healthcare providers and 

facilities and public health departments 

(HDs). Following the outbreak response, 

HDs reported that various challenges 

with access to patient health 

information in electronic health records 

(EHRs) hindered the efficient and rapid 

identification of potential fungal 

meningitis cases in healthcare facilities. 

The fungal meningitis outbreak 

experience highlights the need to better 

understand the landscape of granting 

and using access to EHRs for outbreak 

investigations. 

The Division of Healthcare Quality 

Promotion, the Office for State, Tribal, 

Local and Territorial Support, and the 

Office of Public Health Scientific 

Services at the Centers for Disease 

Control and Prevention (CDC) are 

partnering with Association of State and 

Territorial Health Officials and The 

Keystone Center to evaluate the 

challenges surrounding HDs access to 

EHRs in healthcare facilities’ during an 

HAI outbreak investigation. The 

evaluation seeks to compile information 

across states from experts in the public 

and private sector to assess experiences, 

identify issues, and seek 

recommendations for improving HDs 

access to EHRs during future outbreaks. 

In addition to a study report, the 

insights from healthcare facility staff 

will be used to build a toolkit to help 

state HDs understand the perspectives 

and needs of the healthcare facilities 

related to EHR access. The toolkit will 

provide perceived barriers, 

recommendations to overcome those 

barriers, best practices that support EHR 

access, and practical tools such as 

templates, memorandums of 

understanding (MOUs), and policies. 

The toolkit will be distributed to HDs, 

healthcare facilities, and other 


rljohnson on DSK3VPTVN1PROD with NOTICES
71430 Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 

stakeholders to support awareness and 

strengthen relationships between public 

health and clinical care. 

These activities will facilitate the 

quick and efficient identification of 

cases in future outbreaks and protect the 

health and safety of patients. 

This request corresponds with an 

initial ongoing data collection, State 

Health Department Access to Electronic 

Health Record Data during an Outbreak: 

A Retrospective Assessment, which 

involves interviews with four types of 

Health Department staff: Healthcareassociated infection coordinator, 

epidemiologist, legal counsel, and 

informatics director (OMB Control 

Number 0920–0879, approved on 04/24/ 

2014). We anticipate that the Phase I 

data analysis will be completed in late 

2014. 

For Phase II of this study, we will be 

requesting participation from hospital 

and clinic staff in their official 

capacities across the same 15 states 

included in the Phase I request. The 

states chosen for Phase I and Phase II 

data collections are: Florida, Indiana, 

Kansas, Maryland, Michigan, 

Minnesota, New Hampshire, New 

Jersey, New York, North Carolina, Ohio, 

Oregon, Tennessee, Texas, and Virginia. 

Data will be collected from 150 hospital 

and clinic staff in their official 

capacities using one 30-minute 

telephone interview per person and 

limiting interviews to two hospitals and 

two clinics per state. Hospital 

participants include: Infection 

preventionists, informatics directors, 

and others as referred. Clinic 

participants include: Clinic directors 

and others as referred. 

The focus of this OMB request is to 

conduct interviews with 150 healthcare 

facilities’ staff, hospitals and clinics, in 

their official capacities who have been 

asked by HDs to provide access to their 

EHRs during an HAI outbreak 

investigation. In hospitals, the 

evaluation team will be conducting 

interviews with staff members serving 

in one of three roles: Infection 

preventionist, informatics director, and 

other as referred (e.g. privacy officer, 

risk management, etc.). In clinics, the 

evaluation team will be conducting 

interviews with the clinic director, and 

other as referred (e.g. patient records 

manager, etc.) 

The maximum estimates for burden 

hours are derived from interview guide 

pilot testing and data collection with 

HDs during Phase I data collection, in 

which interviews took 27 minutes. The 

data to be collected do not involve 

questions of a personal or sensitive 

nature and should have no impact on 

the individual’s privacy. 

There are no costs to the respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Infection Preventionist ..................................................................................... 30 1 ........................ 15 

Informatics Director .......................................................................................... 30 1 ........................ 15 

Other as Referred ............................................................................................ 30 1 30/60 15 

Clinic Director .................................................................................................. 30 ........................ ........................ 15 

Other as referred by Clinic Director ................................................................. 30 1 ........................ 15 

Totals ........................................................................................................ 150 1 ........................ 75 

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. 2014–28236 Filed 12–1–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–15–0821] 

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 

Quarantine Station Illness Response 

Forms: Airline, Maritime, and Land/

Border Crossing (OMB Control No. 

0920–0821, expiration 08/31/2015)— 

Revision—National Center for Emerging 

and Zoonotic Infectious Diseases, 


rljohnson on DSK3VPTVN1PROD with NOTICES