Published 60-Day FRN

Federal Register / Vol. 80, No. 108 / Friday, June 5, 2015 / 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. 2015–13797 Filed 6–4–15; 8:45 am]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[Docket No. CDC–2015–0038; 60Day–15–
0964]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, 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. This notice invites
comment on a proposed reinstatement
of an information collection entitled
‘‘Interventions to Reduce Shoulder
MSDs in Overhead Assembly’’. This
information collection is part of a study
to assess the effectiveness and costbenefit of occupational safety and health
(OSH) interventions to prevent
musculoskeletal disorders (MSDs)
among workers in the Manufacturing
(MNF) sector.
DATES: Written comments must be
received on or before August 4, 2015.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2015–
0038 by any of the following methods:
Federal eRulemaking Portal:
Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE., MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background

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Please note: All public comment should be
submitted through the Federal eRulemaking
portal (Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT:

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SUMMARY:

documents or comments received, go to
Regulations.gov.

To

request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
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

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a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
Proposed Project
Interventions to Reduce Shoulder
MSDs in Overhead Assembly—
Reinstatement—(OMB Control No.
0920–0964, Expired 4/30/2015),
National Institute for Occupational
Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The mission of the National Institute
for Occupational Safety and Health
(NIOSH) is to promote safety and health
at work for all people through research
and prevention. Under Public Law 91–
596, sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1970), NIOSH has the responsibility to
conduct research to advance the health
and safety of workers. In this capacity,
NIOSH proposes a reinstatement for a
study to assess the effectiveness and
cost-benefit of occupational safety and
health (OSH) interventions to prevent
musculoskeletal disorders (MSDs)
among workers in the Manufacturing
(MNF) sector. The original information
collection request expired on April 30,
2015. A reinstatement is being requested
in order to allow the program to resume
the data collection activities.
MSDs represent a major proportion of
injury/illness incidence and cost in the
U.S. Manufacturing (MNF) sector. In
2008, 29% of non-fatal injuries and
illnesses involving days away from
work (DAW) in the MNF sector involved
MSDs and the MNF sector had some of
the highest rates of MSD DAW cases.
The rate for the motor vehicle
manufacturing sub-sector (NAICS 3361)
was among the highest of MNF sub
sectors, with MSD DAW rates that were
higher than the general manufacturing
MSD DAW rates from 2003–2007.
In automotive manufacturing
overhead conveyance of the vehicle
chassis requires assembly line
employees to use tools in working
postures with the arms elevated. These
postures are believed to be associated
with symptoms of upper limb
discomfort, fatigue, and impingement
syndromes (Fischer et al., 2007).
Overhead working posture, independent
of the force or load exerted with the
hands, may play a role in the
development in these conditions.
However, recent studies suggest a
more significant role of localized
shoulder muscle fatigue in contributing
to these disorders. Fatigue of the
shoulder muscles may result in changes

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Federal Register / Vol. 80, No. 108 / Friday, June 5, 2015 / Notices

in normal shoulder kinematics (motion)
that affect risk for shoulder
impingement disorders (Ebaugh et al.,
2006; Chopp et al., 2010).
The U.S. Manufacturing sector has
faced a number of challenges including
an overall decline in jobs, an aging
workforce, and changes in
organizational management systems.
Studies have indicated that the average
age of industrial workers is increasing
and that older workers may differ from
younger workers in work capacity,
injury risk, severity of injuries, and
speed of recovery (Kenny et al., 2008;
Gall et al., 2004; Restrepo et al., 2006).
As the average age of the industrial
population increases and newer systems
of work organization (such as lean
manufacturing) are changing the nature
of labor-intensive work, prevention of
MSDs will be more critical to protecting
older workers and maintaining
productivity.
This study will continue to evaluate
the efficacy of two intervention
strategies for reducing musculoskeletal
symptoms and pain in the shoulder
attributable to overhead assembly work
in automotive manufacturing. These
interventions are, (1) an articulating
spring-tensioned tool support device
that unloads from the worker the weight
of the tool that would otherwise be
manually supported, and, (2) a targeted
exercise program intended to increase

individual employees’ strength and
endurance in the shoulder and upper
arm stabilizing muscle group. As a
primary prevention strategy, the tool
support engineering control approach is
preferred; however, a cost-efficient
opportunity exists to concurrently
evaluate the efficacy of a preventive
exercise program intervention. Both of
these intervention approaches have
been used in the Manufacturing sector,
and preliminary evidence suggests that
both approaches may have merit.
However, high quality evidence
demonstrating their effectiveness, by
way of controlled trials, is lacking.
This project will be conducted as a
partnership between NIOSH and Toyota
Motors Engineering & Manufacturing
North America, Inc. (TEMA), with the
intervention evaluation study taking
place at the Toyota Motor
Manufacturing Kentucky, Inc. (TMMK)
manufacturing facility in Georgetown,
Kentucky. The prospective intervention
evaluation study will be conducted
using a group-randomized controlled
trial multi-time series design. Four
groups of 25–30 employees will be
established to test the two intervention
treatment conditions (tool support,
exercise program), a combined
intervention treatment condition, and a
control condition. The four groups will
be comprised of employees working on

two vehicle assembly lines in different
parts of the facility, on two work shifts
(first and second shift). Individual
randomization to treatment condition is
not feasible, so a group-randomization
(by work unit) will be used to assign the
four groups to treatment and control
conditions. Observations will be made
over the 10-month study period and
questionnaires will include the
Shoulder Rating Questionnaire (SRQ),
Disabilities of the Arm, Shoulder and
Hand (DASH) questionnaire, a
Standardized Nordic Questionnaire for
body part discomfort, and a Work
Organization Questionnaire. In addition
to the questionnaires, a shoulderspecific functional capacity evaluation
test battery will be administered at 90
and 210 days, immediately pre- and
post-intervention, to confirm the
efficacy of the targeted exercise program
in improving shoulder capacity.
In summary, this study will evaluate
the effectiveness of two interventions to
reduce musculoskeletal symptoms and
pain in the shoulder associated with
repetitive overhead work in the
manufacturing industry. In addition,
NIOSH will disseminate the results of
evidence-based prevention practices to
the greatest audience possible. NIOSH
expects to complete all data collection
by 2018. There is no cost to respondents
other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents

Form name

Employees .................
Employees .................
Employees .................

Employees .................

PAR–Q (Physical Activity Readiness) .............
Shoulder rating Questionnaire (SQR) .............
Disabilities of Arm Shoulder and Hand
(DASH).
Standardized Nordic Questionnaire for Musculoskeletal Symptoms.
Work Org Questionnaire ..................................

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

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

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Employees .................

Number of
respondents

1
10
10

2/60
4/60
6/60

4
83
125

125

10

4/60

83

125

3

26/60

163

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

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

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

458

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

[FR Doc. 2015–13798 Filed 6–4–15; 8:45 am]

[Document Identifiers CMS–10561]

Centers for Medicare & Medicaid
Services

BILLING CODE 4163–18–P

Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:

18:31 Jun 04, 2015

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Total burden
(in hrs.)

125
125
125

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.

VerDate Sep<11>2014

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burden per
response
(in hours)

Number of
responses per
respondent

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The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our

SUMMARY:

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