51838 Federal Register / Vol. 82, No. 215 / Wednesday, November 8, 2017 / Notices 

Background and Brief Description 

Compared to people without mental 

illness (MI), people with MI have higher 

rates of cancer risk factors such as 

smoking and obesity. 

Many people with MI receive 

outpatient mental health care at 

community mental health centers 

(CMHC), and some of these facilities 

provide screening for cardiovascular 

disease and other chronic conditions. 

The extent to which cancer prevention 

services are provided at CMHCs is not 

understood. 

This project will use online 

instruments and telephone interviews 

with psychiatric clinicians and 

administrators at selected CMHCs across 

the United States to assess the capacities 

of these facilities to provide cancer 

prevention services (e.g., cancer risk 

factor education, cancer screening 

referrals, tobacco cessation counseling) 

to clients. 

With a goal to achieve a final analytic 

sample of at least 250 psychiatric 

clinicians and 250 administrators at 

CMHCs, researchers will interview a 

subset of 5%-10% of each group by 

telephone. 

The objectives of this study are to (1) 

describe the capacity of CMHCs to 

provide cancer prevention services; (2) 

describe any written policies and 

procedures at CMHCS for providing 

these services; (3) describe any 

collaboration of CMHCs with health 

care providers or community health 

workers/organizations to provide these 

services; and (4) describe any barriers to 

providing these services. Researchers 

will ask respondents that provide cancer 

prevention services about best practices 

and lessons learned. 

There will be no costs to the 

respondents other than their time. To 

calculate the total burden, we estimated 

500 respondents for the surveys and 50 

for the interviews. The average burden 

will vary from 15–20 minutes for the 

surveys and one hour for the interviews. 

The total estimated annual burden 

hours are 392. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Psychiatric clinicians ......................... Clinician Survey Instrument ............. 500 1 15/60 125 

Administrators ................................... Administrator Survey Instrument ...... 500 1 20/60 167 

Psychiatric clinicians ......................... Clinician Interview ............................ 50 1 1 50 

Administrators ................................... Administrator Interview ..................... 50 1 1 50 

Total ........................................... ........................................................... ........................ ........................ ........................ 392 

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. 2017–24316 Filed 11–7–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–18–1039] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled Information 

Collection on Cause-Specific 

Absenteeism in Schools and Evaluation 

of Influenza Transmission within 

Student Households to the Office of 

Management and Budget (OMB) for 

review and approval. CDC previously 

published a ‘‘Proposed Data Collection 

Submitted for Public Comment and 

Recommendations’’ notice on April 27, 

2017 to obtain comments from the 

public and affected agencies. CDC 

received two comments related to the 

previous notice. This notice serves to 

allow an additional 30 days for public 

and affected agency comments. 

CDC will accept all comments for this 

proposed information collection project. 

The Office of Management and Budget 

is particularly interested in comments 

that: 

(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. Direct 

written comments and/or suggestions 

regarding the items contained in this 

notice to the Attention: CDC Desk 

Officer, Office of Management and 

Budget, 725 17th Street NW., 

Washington, DC 20503 or by fax to (202) 

395–5806. Provide written comments 

within 30 days of notice publication. 

Proposed Project 

Information Collection on CauseSpecific Absenteeism in Schools and 

Evaluation of Influenza Transmission 

within Student Households—Revision— 

National Center for Emerging and 

Zoonotic Infectious Diseases (NCEZID), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

The CDC requests approval of a 

revised information collection to 

improve our understanding of the role 

of influenza-like illness (ILI)-specific 

absenteeism in schools in predicting 

community-wide influenza transmission 

and to detect within-household 

transmission of influenza in households 

from which a student has been absent 

from school due to ILI. 

This information collection request 

aligns DGMQ/CDC’s mission to reduce 

morbidity and mortality in mobile 


ethrower on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 215 / Wednesday, November 8, 2017 / Notices 51839 

populations, and to prevent the 

introduction, transmission, or spread of 

communicable diseases within the 

United States. Insights gained from this 

information collection will assist in 

pandemic preparedness planning and 

implementation of CDC Pre-Pandemic 

Guidance on the use of school related 

measures, including school closures, to 

slow transmission during an influenza 

pandemic. 

School closures were considered an 

important measure during the earliest 

stage of the 2009 H1N1 pandemic, 

because a pandemic vaccine was not 

available until October (six months 

later), and sufficient stocks to immunize 

all school-age children were not 

available until December. However, 

retrospective review of the U.S. 

government response to the pandemic 

identified a limited evidence-base 

regarding the effectiveness, 

acceptability, and feasibility of various 

school related measures during mild or 

moderately severe pandemics. Guidance 

updates will require an evidence-based 

rationale for determining the 

appropriate triggers, timing, and 

duration of school related measures, 

including school closures, during a 

pandemic. 

CDC staff proposes that the 

information collection for this project 

will target adult and child populations 

in a school district in Wisconsin. CDC 

will collect reports of individual student 

symptoms, vaccination status, recent 

travel, recent exposure to people with 

influenza symptoms, and duration of 

illness. In accordance with the revised 

proposal, CDC will also collect reports 

on household composition, and 

influenza vaccination status; symptoms 

and severity of illness; related 

healthcare visits; and missed work or 

school of the participating students’ 

household members. This information 

accomplished through telephone and inperson interviews. 

CDC will use findings obtained from 

this information to inform and update 

CDC’s Pre-pandemic Guidance on the 

implementation of school related 

measures to prevent the spread of 

influenza, especially school closures. 

Both state and local health departments 

in the United States use this guidance 

as an important planning and reference 

tool. 

CDC has enrolled in the study 651 

students absent from school due to ILI 

since gaining OMB approval in 

December 2014, 651 students absent 

from school due to ILI. Of them, 58% 

were positive for at least one respiratory 

pathogen included in the PCR panel that 

tests for the presence of 17 common 

respiratory viruses, and 27% of the 

students were found to be positive for 

influenza. It was demonstrated that 

absenteeism due to ILI in school 

children was highly correlated with 

PCR-confirmed influenza in enrolled 

school children (r = 0.73; P < 0.001) and 

with medically-attended influenza in 

the surrounding community (r = 0.72; P 

< 0.001) suggesting that ILI-specific 

school absenteeism can be considered a 

useful tool for predicting influenza 

outbreaks in the surrounding 

community. However, researchers 

require more observations during 

influenza seasons caused by other 

influenza strains to make these findings 

more robust. 

This revision adds a household 

transmission component to the ongoing 

approved information collection. In 

addition to collecting data and 

biospecimens from students who were 

absent from school because of the ILI, 

information and biospecimens will also 

be collected from household members of 

these students. This revision aims to 

enhance current knowledge and 

understanding of introduction of 

influenza infection to households that 

have school-age children as well as 

within-household transmission. 

There are no costs to the respondents 

other than their time. The total 

estimated annual burden hours are 419. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Parents of children/adolescents or adult students (≥18 yo) attending schools.Screening Form ..............................................

Acute Respiratory Infection and Influenza 

Surveillance Form.

345 

300 

1 

1 

5/60 

15/60 

Household Study Form .................................. 300 1 5/60 

Student ............................................................ Biospecimen collection ................................... 300 2 5/60 

Household members ....................................... Household Study Form .................................. 720 2 10/60 

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. 2017–24315 Filed 11–7–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–18–17AZX] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled Zika Puerto 

Rico Study: Zika Virus RNA Persistence 

in Pregnant Women and Congenitally 

Exposed Infants in Puerto Rico to the 

Office of Management and Budget 

(OMB) for review and approval. CDC 

previously published a ‘‘Proposed Data 

Collection Submitted for Public 

Comment and Recommendations’’ 

notice on April 19, 2017 to obtain 

comments from the public and affected 

agencies. CDC did not receive comments 

related to the previous notice. This 

notice serves to allow an additional 30 

days for public and affected agency 

comments. 

CDC will accept all comments for this 

proposed information collection project. 

The Office of Management and Budget 

is particularly interested in comments 

that: 

(a) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 


ethrower on DSK3G9T082PROD with NOTICES