39438 Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Annual End of Year Survey .............................................. 230 1 15/60 

Final Survey ...................................................................... 58 1 15/60 

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. 2017–17519 Filed 8–17–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–17–17ABC] 

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 

Zika Postpartum Emergency Response 

Survey (ZPER), Puerto Rico, 2017— 

New—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

In December 2015, the Puerto Rico 

Department of Health (PRDH) reported 

the first locally acquired (index) case of 

Zika virus disease in the United States. 

Since then, 38,733 cases have been 

confirmed in Puerto Rico, including 

3,076 among pregnant women. Because 

the most common mosquito vector of 

Zika virus, Aedes aegypti, is present 

throughout Puerto Rico, Zika virus 

transmission is ongoing. The island has 

been designated at the highest level of 

risk according to a 3-tiered Zika virus 

infection risk scale developed by CDC’s 

Emergency Operations Center. 

While pregnant women do not differ 

from the general population in terms of 

susceptibility to Zika virus infection or 

severity of disease, they are at risk for 

adverse pregnancy and birth outcomes 

associated with Zika virus infection 

during pregnancy. After review of the 

available evidence, CDC concluded that 

Zika virus infection during pregnancy is 

a cause of microcephaly and other brain 

defects. 

Given the adverse pregnancy and 

birth outcomes associated with Zika 

virus infection during pregnancy, it is 

more important than ever to understand 

the Zika-related concerns of pregnant 

women, interactions regarding Zika 

between pregnant women and their 

health care providers, sources of 

information that pregnant women 

consult regarding Zika virus, and use of 

recommended precautions by pregnant 

women to reduce the risk of exposure to 

Zika virus. This information was 

successfully collected for the first time 

in a hospital-based survey of women 

24–48 hours after delivery by the Puerto 

Rico Department of Health in the fall of 

2016 (Emergency OMB approval, 

Control #0920–1127), and has been 

critical for informing clinical guidance, 

developing communication messages, 

and providing resources for pregnant 

women. 

The currently proposed data 

collection includes three components to 

follow-up on the initial effort. The first 

component is a telephone follow-back 

survey among a subset of the original 

participants. This component would be 

the first population-based sample of 

postpartum women who were pregnant 

during the early period of the Zika 

outbreak, and would provide 

information on the accessibility and 

utilization of postpartum and newborn 

services, and continued adherence to 

Zika prevention behaviors. The second 

component would be to repeat the 

hospital-based survey of pregnant 

women to assess the effectiveness of 

emergency response efforts and to 

determine where there is a need for 

further refinement of efforts and 

outstanding resource gaps; as with the 

first hospital-based survey, there would 

be subsequent telephone follow-up 

survey with a subset of the participants. 

The third and final component is the 

addition of a separate hospital-based 

survey for fathers of the infants born to 

surveyed mothers. This component 

would assess father’s concerns about 

Zika related birth defects and 

contribution to prevention efforts. 

There are no costs to respondents 

other than their time to participate. 

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Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices 39439 

1 Garrison LE, Kunz JM, Cooley LA, et al. Vital 

signs: Deficiencies in environmental control 

identified in outbreaks of Legionnaires disease— 

North America, 2000–2014. MMWR Morb Mortal 

Wkly Rep 2016; 65:576–84. https://doi.org/ 

10.15585/mmwr.mm6522e1. 

2ASHRAE 188: Legionellosis: Risk Management 

for Building Water Systems June 26, 2015. 

ASHRAE: Atlanta. www.ashrae.org. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Avg. burden 

per response 

(in hours) 

Total burden 

(in hours) 

Women with recent births .................. Maternal hospital-based questionnaire.2,990 1 25/60 1,247 

Fathers with recently born infants ..... Father hospital-based questionnaire 1,790 1 15/60 448 

Women with live births 2–10 months 

prior.

Follow-up phone questionnaire ......... 3,070 1 15/60 768 

Total ............................................ ............................................................ ...................... ........................ ........................ 2,463 

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. 2017–17518 Filed 8–17–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2017–0069] 

Effective Methods for Implementing 

Water Management Programs (WMPs) 

To Reduce Growth of Transmission of 

Legionella spp. 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Request for information. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC) in the 

Department of Health and Human 

Services (HHS) announces the opening 

of a docket to obtain information on 

effective methods for achieving 

implementation of water management 

programs (WMPs) intended to reduce 

Legionella growth and transmission in 

buildings at increased risk. The 

information will inform CDC efforts to 

prevent Legionnaires disease in the 

United States. Information gathered 

should also inform CDC efforts to 

prevent disease due to other 

opportunistic waterborne pathogens 

(e.g., Pseudomonas, Acinetobacter, 

Burkholderia, Stenotrophomonas, 

nontuberculous mycobacteria, various 

species of fungi, and Naegleria). 

DATES: Written comments must be 

received on or before October 17, 2017. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2017– 

0069 by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Laura Cooley, National Center 

for Immunization and Respiratory 

Diseases, Division of Bacterial Diseases, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE., MS 

C25, Atlanta, GA 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. All relevant comments 

received will be posted without change 

to http://regulations.gov, including any 

personal information provided. For 

access to the docket to read background 

documents or comments received, go to 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Laura Cooley, National Center for 

Immunization and Respiratory Diseases, 

Division of Bacterial Diseases, Centers 

for Disease Control and Prevention, 

1600 Clifton Road NE., MS C25, Atlanta, 

GA 30329. Email: 

travellegionella@cdc.gov. Phone: (404) 

639–2215. 

SUPPLEMENTARY INFORMATION: 

Background: CDC assists state and 

local health departments with 

Legionnaires disease response and 

prevention efforts by providing 

technical assistance and developing 

resources focused on preventing and 

investigating cases and outbreaks of 

Legionnaires disease (https:// 

www.cdc.gov/legionella/). 

Legionnaires disease, a severe, 

sometimes fatal pneumonia, can occur 

in persons who inhale aerosolized 

droplets of water contaminated with the 

bacterium Legionella. The rate of 

reported cases of Legionnaires disease 

in the United States has increased more 

than four-fold since 2000.1 Legionella 

and other waterborne pathogens can 

multiply in large, complex building 

water systems where there are gaps in 

water system maintenance; thus, the 

most effective strategy for prevention of 

Legionnaires disease is through control 

of Legionella in building water systems. 

Water management programs (WMPs) 

identify hazardous conditions and take 

steps to minimize the growth and 

spread of Legionella and other 

waterborne pathogens in building water 

systems. Developing and maintaining a 

water management program is a multistep process that requires continuous 

review. 

In 2015, ASHRAE (formerly known as 

the American Society of Heating, 

Refrigerating, and Air-Conditioning 

Engineers) published a consensus 

standard for the primary prevention of 

Legionnaires disease,2 which calls for 

the development and implementation of 

WMPs in buildings with large or 

complex water systems and in buildings 

that house people who are particularly 

susceptible to Legionnaires disease. 

ASHRAE recommends WMPs for the 

following buildings and devices: 

• Healthcare facilities where patients 

stay overnight 

• Buildings that house or treat people 

who have chronic and acute medical 

problems or weakened immune 

systems 

• Buildings that primarily house people 

older than 65 years (like a retirement 

home or assisted living facility) 

• Buildings that have a centralized hot 

water system (like a hotel or high-rise 

apartment complex) 

• Buildings 10 stories or more 

(including basement levels) 

• Devices that have been linked to 

transmission of Legionella: 

Æ Cooling towers 

Æ Hot tubs (or spas) that are not 

drained between each use 

Æ Decorative fountains 

Æ Centrally-installed misters, 

atomizers, air washers, or 

humidifiers 

Additionally, stakeholders can use 

CDC’s toolkit, Developing a Water 

Management Program to Reduce 

Legionella Growth & Spread in 

Buildings: A Practical Guide to 

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