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
Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 71431 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

CDC is requesting a revision to a 

currently approved information 

collection, Quarantine Station Illness 

Response Forms: Airline, Maritime, and 

Land/Border Crossing. This revision 

seeks to incorporate the changes that 

resulted from activities undertaken 

during the response to Ebola. These 

changes include two major components, 

both of which have been given previous 

emergency clearance by OMB, with an 

expiration date of April 30, 2015. As a 

part of this revision, CDC is requesting 

the full three year approval and 12 

months of burden for the following: 

The incorporation of a two public 

health screening forms that are currently 

used to assess risk for Ebola in travelers 

coming to the United States from 

countries experiencing widespread 

transmission of the disease. These forms 

are the United States Traveler Health 

Declaration and a completely revised 

Ebola Risk Assessment For Travelers 

From Ebola Outbreak-Affected 

Countries form, each given approval 

from OMB under OMB Control No 

0920–1031. The additional burden 

requested for the electronic and hard 

copies of the English, hard copy French, 

and hard copy Arabic versions of the 

health declaration, and the English and 

French hard copy versions of the risk 

assessment form, is 16,965 hours. 

In this revision, CDC is maintaining 

the ability to use the Ebola Risk 

Assessment for Travelers from 

Outbreak-affected Countries form in the 

event that a traveler is identified as ill 

on a U.S.-bound flight prior to arrival. 

In the no material or non-substantive 

change to a currently approved 

collection granted by OMB on 9/18/

2014, CDC requested 100 respondents 

and 5 hours of burden. Because the risk 

assessment form is more 

comprehensive, it requires more time 

for traveler to complete the assessment. 

CDC is requesting an additional 20 

hours of burden for the purpose of 

assessing ill travelers, for a total of 25 

hours of burden. No additional 

respondents are requested. 

CDC is also requesting the 

incorporation of a telephonic, 

automated survey administered either 

through Interactive Voice Response 

(IVR) phone system which asks travelers 

if they have developed a fever or any 

other symptoms potentially indicative 

of Ebola exposure (OMB Control No 

0920–1034). This system is used to 

assist states in actively monitoring those 

travelers from Ebola affected countries 

for 21 days after arrival. The additional 

burden requested for the use of the IVR 

system is 91,350 hours. 

No revisions are requested to the Air 

Travel, Maritime Conveyance or Land 

Travel Illness and Death Investigation 

forms or burden associated with these 

information collections. The current 

burden associated with these forms is 

314 hours. 

This revision incorporates the burden 

estimates provided for the emergency 

information collection 0920–1031 and 

0920–1034. The total additional burden 

requested for this revision is 133,110 

respondents and 108,335 burden hours. 

The estimated total burden for OMB 

Control Number 0920–0821 is 136,968 

respondents and 108,654 burden hours. 

There is no burden to respondents other 

than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondent Form Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in minutes) 

Total burden 

hours 

Traveler ............................................. Airline Travel Illness or Death Investigation Form.1626 1 5/60 136 

Traveler ............................................. Maritime Conveyance Illness or 

Death Investigation Form.

1873 1 5/60 156 

Traveler ............................................. Land Travel Illness or Death Investigation Form.259 1 5/60 22 

Traveler ............................................. United States Travel Health Declaration (English: Hard Copy, 

fillable PDF, electronic portal).

45,325 1 15/60 11,331 

Traveler ............................................. United States Travel Health Declaration (French hard copy).19,625 1 15/60 4906 

Traveler ............................................. United States Travel Health Declaration (Arabic hard copy).300 1 15/60 75 

Traveler ............................................. Ebola Risk Assessment for Travelers from Outbreak-affected 

Countries (English hard copy).

1815 1 15/60 454 

Traveler ............................................. Ebola Risk Assessment for Travelers from Outbreak-affected 

Countries (French hard copy).

783 1 15/60 196 

Traveler ............................................. Ebola Risk Assessment for Travelers from Outbreak-affected 

Countries (Arabic hard copy).

12 1 15/60 3 

Traveler ............................................. Ebola Risk Assessment for Travelers from Outbreak-affected 

Countries (Ill traveler interview).

100 1 15/60 25 

Traveler ............................................. IVR Active Monitoring Survey 

(English: Recorded).

45,625 21 4/60 63,875 

Traveler ............................................. IVR Active Monitoring Survey 

(French: Recorded).

19,625 21 4/60 27,475 

Total ........................................... ........................................................... 136,968 ........................ ........................ 108,654 


rljohnson on DSK3VPTVN1PROD with NOTICES
71432 Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 

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. 2014–28232 Filed 12–1–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–15–0214] 

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 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 30 days of this 

notice. 

Proposed Project 

National Health Interview Survey 

(NHIS) (OMB No. 0920–0214, expires 

03/31/2016)—Revision—National 

Center for Health Statistics (NCHS), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall collect data 

on the extent and nature of illness and 

disability of the population of the 

United States. The annual National 

Health Interview Survey is a major 

source of general statistics on the health 

of the U.S. population and has been in 

the field continuously since 1957. 

Clearance is sought for three years, to 

collect data for 2015, 2016, and 2017. 

This voluntary and confidential 

household-based survey collects 

demographic and health-related 

information on a nationally 

representative sample of persons and 

households throughout the country. 

Personal identification information is 

requested from survey respondents to 

facilitate linkage of survey data with 

health-related administrative and other 

records. Each year we collect 

information from approximately 55,000 

households, which contain about 

137,500 individuals. 

Information is collected using 

computer assisted personal interviews 

(CAPI). A core set of data is collected 

each year that remains largely 

unchanged while sponsored 

supplements vary from year to year. The 

core set includes socio-demographic 

characteristics, health status, health care 

services, and health behaviors. For 

2015, supplemental questions will be 

cycled in pertaining to cancer control, 

epilepsy, and inflammatory bowel 

disease and occupational health. 

Supplemental topics that continue or 

are enhanced from 2014 will be related 

to food security, heart disease and 

stroke, children’s mental health, 

disability and functioning, sexual 

orientation, smokeless tobacco and ecigarettes, immunizations, and 

computer use. Questions on the 

Affordable Care Act from 2014 have 

been reduced in number in 2015. In 

addition, a follow-back survey will be 

conducted on previous NHIS 

respondents. The follow-back survey 

will focus on topics related to the 

Affordable Care Act including health 

care access and use, and health 

insurance coverage and will include 

multiple modes of contacting 

respondents. 

To improve the analytic utility of 

NHIS data, minority populations are 

oversampled annually. In 2015, sample 

augmentation procedures used in 

previous years will continue to increase 

the number of African American, 

Hispanic, and Asian American persons. 

In accordance with the 1995 initiative 

to increase the integration of surveys 

within the DHHS, respondents to the 

NHIS serve as the sampling frame for 

the Medical Expenditure Panel Survey 

conducted by the Agency for Healthcare 

Research and Quality. The NHIS has 

long been used by government, 

academic, and private researchers to 

evaluate both general health and 

specific issues, such as cancer, diabetes, 

and access to health care. It is a leading 

source of data for the Congressionally 

mandated ‘‘Health US’’ and related 

publications, as well as the single most 

important source of statistics to track 

progress toward the National Health 

Promotion and Disease Prevention 

Objectives, ‘‘Healthy People 2020.’’ 

The total annualized burden hours 

have increased by 3,333 hours to 48,833 

hours. There is no cost to the 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Adult Family Member ...................................... Screener Questionnaire ................................. 10,000 1 5/60 


rljohnson on DSK3VPTVN1PROD with NOTICES