Attachment 2a - NHANES FR notice extension

33463

Federal Register / Vol. 77, No. 109 / Wednesday, June 6, 2012 / Notices
no costs to respondents other than their
time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response (in
hours)

Total burden
(in hours)

Form name

Adults, ages 18+ in the U.S. .............

Screening and Consent ...................
NPAO Questionnaire ........................

13,300
8,000

1
1

6/60
30/60

1,330
4,000

Total ...........................................

...........................................................

........................

........................

........................

5,330

Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–13682 Filed 6–5–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–12–0237]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

mstockstill on DSK4VPTVN1PROD with NOTICES

Number of
respondents

Type of respondent

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Kimberly S. Lane, at 1600
Clifton Road, MS D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
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; and (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. Written comments should
be received within 60 days of this
notice.

VerDate Mar<15>2010

17:24 Jun 05, 2012

Jkt 226001

Proposed Project
The National Health and Nutrition
Examination Survey (NHANES)—
(0920–0237)— Extension—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
statistics on the extent and nature of
illness and disability; environmental,
social and other health hazards; and
determinants of health of the population
of the United States.
The National Health and Nutrition
Examination Survey (NHANES) has, to
date, been authorized as a generic
clearance under OMB Number 0920–
0237. A change in accounting practice
however, requires a shift to a newlyassigned clearance number for future
full cycles of the survey. This extension
requests generic clearance for activities
needed to successfully complete the
2011–2012 NHANES survey cycle,
which ends in early 2013. It also covers
selected NHANES pilot tests and special
studies. A one-year clearance is
requested.
The National Health and Nutrition
Examination Survey (NHANES) has
been conducted periodically between
1970 and 1994, and continuously since
1999 by the National Center for Health
Statistics, CDC.
Annually, approximately 15,411
respondents participate in some aspect
of the full survey. About 10,000
complete the screener for the survey.
About 142 complete the household
interview only. About 5,269 complete
both the household interview and the
Mobile Examination Center (MEC)
examination. However, this request
seeks approval for only one-quarter year
of data collection to complete the 2011–
2012 cycle (3,850 respondents). In
addition, up to 1,000 additional persons

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might participate in tests of procedures,
special studies, or methodological
studies. Participation in NHANES is
completely voluntary and confidential.
NHANES programs produce
descriptive statistics which measure the
health and nutrition status of the
general population. Through the use of
questionnaires, physical examinations,
and laboratory tests, NHANES studies
the relationship between diet, nutrition
and health in a representative sample of
the United States. NHANES monitors
the prevalence of chronic conditions
and risk factors related to health such as
arthritis, asthma, osteoporosis,
infectious diseases, diabetes, high blood
pressure, high cholesterol, obesity,
smoking, drug and alcohol use, physical
activity, environmental exposures, and
diet. NHANES data are used to produce
national reference data on height,
weight, and nutrient levels in the blood.
Results from more recent NHANES can
be compared to findings reported from
previous surveys to monitor changes in
the health of the U.S. population over
time. NHANES continues to collect
genetic material on a national
probability sample for future genetic
research aimed at understanding disease
susceptibility in the U.S. population.
NCHS collects personal identification
information. Participant level data items
will include basic demographic
information, name, address, social
security number, Medicare number and
participant health information to allow
for linkages to other data sources such
as the National Death Index and data
from the Centers for Medicare and
Medicaid Services (CMS). There is no
cost to respondents other than their
time.
NHANES data users include the U.S.
Congress; numerous Federal agencies
such as other branches of the Centers for
Disease Control and Prevention, the
National Institutes of Health, and the
United States Department of
Agriculture; private groups such as the
American Heart Association; schools of
public health; and private businesses.

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33464

Federal Register / Vol. 77, No. 109 / Wednesday, June 6, 2012 / Notices
TABLE 1—ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
hours

Form

1. Individuals in households ..............
2. Individuals in households ..............

NHANES Questionnaire ....................
Special Studies ..................................

3,850
1,000

1
1

2.4
3

9,240
3,000

Total ............................................

............................................................

........................

........................

......................

12,240

Kimberly S. Lane,
Deputy Director, Office of Science Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–13686 Filed 6–5–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–12–0824]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

mstockstill on DSK4VPTVN1PROD with NOTICES

Number of
respondents

Type of respondent

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Kimberly S. Lane,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to
omb@cdc.gov.
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; and (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. Written comments should
be received within 60 days of this
notice.

VerDate Mar<15>2010

17:24 Jun 05, 2012

Jkt 226001

Proposed Project
BioSense 2.0 (OMB No. 0920–0824,
exp. 10/31/2012)—Revision—Office of
Surveillance, Epidemiology, and
Laboratory Services (OSELS), Public
Health Surveillance and Informatics
Program Office (PHSIPO) {Proposed}
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description:
The BioSense Program was created by
congressional mandate as part of the
Public Health Security and Bioterrorism
Preparedness and Response Act of 2002,
and it was launched by the Centers for
Disease Control and Prevention (CDC) in
2003. BioSense is a near real-time
surveillance system that receives and
processes electronic healthcare
encounter data, including, chief
complaints, final diagnosis codes,
procedure codes, clinical laboratory,
pharmacy prescription, and patient
demographic data from participating
public health jurisdictions’ non-federal
hospital emergency departments and
inpatient facilities in addition to all
United States Department of Defense
(DoD) and Veterans Affairs (VA)
outpatient hospitals and clinics
nationwide. The BioSense Program also
receives pharmacy data from a private
sector health information exchange firm
and laboratory data from two nationallevel private sector clinical laboratories.
The BioSense Program is in the
process of transitioning from the
original BioSense application to the
BioSense 2.0 application that has new
governance, a new organizational
structure, and a new process for data
submission and management. The
Association of State and Territorial
Health Officials (ASTHO) has been
funded through a cooperative agreement
with CDC’s Division of Notifiable
Disease and Healthcare Information
(DNDHI) within the Public Health
Surveillance and Informatics Program
Office (PHSIPO) of the Office of
Surveillance, Epidemiology, and
Laboratory Services (OSELS) to facilitate
the governance of BioSense 2.0, and
through a contract with a vendor,
ASTHO will offer access and use of
BioSense 2.0 on a voluntary basis to

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state, local, and territorial health
jurisdictions.
Unlike the original BioSense
application where participating
organizations’ data were processed and
stored at CDC in the CDC owned and
operated Information Technology
Services Office’s Mid-Tier Data Center
on secure servers, all data submitted by
users in BioSense 2.0 will reside in a
cloud-enabled, web-based platform that
sits in the secure, private Government
Cloud and is in compliance with the
Federal Information Security
Management Act. The platform will
provide users with an exclusive secure
space as well as tools for posting,
receiving, controlling, analyzing, and
sharing their public health surveillance
information with other public health
jurisdictions, CDC, or other public
health partners. The public health
jurisdiction will retain ownership of any
data it contributes to its exclusive
secure space within BioSense 2.0.
The BioSense 2.0 cloud also provides
the CDC’s BioSense Program its own
exclusive secure space to receive, store,
and analyze data. CDC has agreements
with VA, DoD, two national-level
private sector clinical laboratories, and
a private sector health information
exchange firm to provide healthcare
encounter data to CDC’s secure space for
the purpose of national public health
situation awareness and syndromic
surveillance. These organizations
automatically chose to share with CDC
when they were recruited to submit data
to the BioSense 2.0 cloud environment.
Because they are not required to choose
sharing permissions, collecting already
existing healthcare encounter data
submitted via electronic record
transmission from them entails no
burden hours.
In addition to providing a secure,
exclusive space for use by CDC and
secure, exclusive spaces for use by each
participating state, local, and territorial
public health jurisdiction, BioSense 2.0
provides a second secure space in the
cloud for public health jurisdictions to
share aggregate data with other
participating jurisdictions and CDC.
Whenever possible, the BioSense

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