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Federal Register / Vol. 84, No. 26 / Thursday, February 7, 2019 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Total
number of
respondents

Number of
responses per
respondents

Time
per response
(hours)

Type of respondent

Form name

Women age 18 to 49 who were born in, or whose mother
was born in, an FGM/C practicing country.
Women age 18–49 who were born in, or whose mother was
born in, an FGM/C practicing country.

WHNS Eligibility Screener .....

667

1

5/60

WHNS Questionnaire ............

400

1

45/60

Jeffrey M. Zirger,
Acting Lead, Information Collection Review
Office, Office of Scientific Integrity, Office
of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019–01325 Filed 2–6–19; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–19–1108; Docket No. CDC–2018–
0117]

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 effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Paul Coverdell National Acute
Stroke Program (PCNASP) reporting
system, which was established to
improve quality of care for acute stroke
patients from onset of signs and
symptoms through hospital care and
rehabilitation and recovery.
DATES: CDC must receive written
comments on or before April 8, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0117 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS–D74, Atlanta,
Georgia 30329.
SUMMARY:

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Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Leroy A.
Richardson, 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 the OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. 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;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and

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4. 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 submissions
of responses.
5. Assess information collection costs.
Proposed Project
Paul Coverdell National Acute Stroke
Program (PCNASP) (OMB No. 0920–
1108, exp. 03/31/2019)—Revision—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Stroke is the fifth leading cause of
death in the United States and results in
approximately 130,000 deaths per year.
Additionally, approximately 800,000
stroke events are reported each year,
including approximately 250,000
recurrent strokes. However, many
strokes are preventable, or patient
outcomes post-stroke can be improved
through coordinated care that begins at
stroke onset and is delivered in a timely
manner.
Stroke outcomes depend upon the
rapid recognition of signs and
symptoms of stroke, prompt transport to
a treatment facility, and early
rehabilitation. Improving outcomes
requires a coordinated systems
approach involving pre-hospital care,
emergency department and hospital
care, post-stroke rehabilitation,
prevention of complications, and
ongoing secondary prevention. Each
care setting has unique opportunities for
improving the quality of care provided
and access to available professional and
clinical care at the local level within a
coordinated state-based system of care.
Through the Paul Coverdell National
Acute Stroke Program (PCNASP), CDC
has been continuously working to
measure and improve acute stroke care
using well-known quality improvement
strategies coupled with frequent
evaluation of results. PCNASP awardees
are state health departments who work
with participating hospitals, Emergency

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Federal Register / Vol. 84, No. 26 / Thursday, February 7, 2019 / Notices
Medical Services (EMS) agencies, and
other healthcare partners (e.g., poststroke recovery facilities) in their
jurisdictions to improve quality of care
for stroke patients. State-based efforts
include identifying effective stroke
treatment centers, building capacity and
infrastructure to ensure that stroke
patients are routed to effective treatment
centers in a timely manner, and
improving transitions of care from the
hospital to the next care setting.
During initial cooperative agreement
cycles, PCNASP awardees focused on
improving in-hospital quality of care
(QoC) with technical assistance
provided by CDC. Through lessons
learned during this process and other
supporting evidence in the field, it has
become evident that it is also important
to examine pre- and post-hospital
transitions of care to link the entire
continuum of stroke care when
improving QoC for stroke patients.
The PCNASP’s current five-year
cooperative agreement started on July 1,
2015 and includes nine awardees and
their selected partners (hospitals, EMS
agencies, other healthcare facilities).
This current funding period reflects
additional emphasis on pre-hospital
quality of care as well as the posthospital transition of care setting from
hospital to home or other healthcare
facility. With technical assistance
provided by CDC, awardees have
worked on identifying and using data
systems to systematically collect and
report data on all three phases of the
stroke care continuum and on hospital
capacity.
PCNASP currently has OMB approval
for the collection of pre-hospital (EMS),
in-hospital, and post-hospital patient

similar mechanism, and data will be
transmitted automatically to awardees.
The average burden per response will
vary from 30 minutes to two hours per
quarter for post-hospital data collection.
Primary data collection of hospital
inventory data is being collected to
understand the capacity and
infrastructure of the hospitals that admit
and treat stroke patients. Each hospital
reports inventory information to its
PCNASP awardee annually. The average
burden per response remains 30
minutes for hospitals. In addition, each
PCNASP awardee prepares an annual
aggregate hospital inventory file for
transmission to CDC. The average
burden of reporting hospital inventory
information for each PCNASP awardee
remains eight hours per response. The
number of respondents is increasing
from 315 to 378 hospital partners due to
increased participation in PCNASP.
Thus, the burden for hospital inventory
data is increasing from 230 to 261 hours
annually.
These requested changes will result in
a net decrease in total average burden
from 382 to 361 hours. All patient,
hospital, and EMS provider data that is
submitted to CDC by PCNASP awardees
will be de-identified and occur through
secure data systems. Proposed data
elements and quality indicators may be
updated over time to include new or
revised items based on evolving
recommendations and standards in the
field to improve the quality of stroke
care.
OMB approval is requested for three
years. Participation is voluntary and
there are no costs to respondents other
than their time.

care data, as well as hospital inventory
data (OMB No. 0920–1108, exp. 03/31/
2019). CDC plans to request a revision
of this currently approved collection,
with an extension of three years.
In-hospital patient care data continues
to align with standards set by The Joint
Commission (TJC) and the American
Heart Association’s Get With The
Guidelines (GWTG) program. There are
no changes to the estimated burden for
the collection of in-hospital data. The
average burden per response remains 30
minutes for awardees, for a total of 18
hours annually.
Data collection methods for pre- and
post-hospital care data are being revised
to allow for information collection
through existing data systems, including
GWTG and the National Emergency
Medical Services Information System
(NEMSIS). CDC has been working with
awardees and the American Heart
Association to identify areas of
alignment and new collaboration to
reduce the burden of this data
collection. The changes also reflect the
different methods that awardees use to
collect this data, which depends on
their state’s access to data sources.
These changes will ultimately reduce
the overall burden of pre-hospital data
collection by using existing data
systems to automatically transmit data
from EMS partners or hospitals to
awardees. The average burden per
response will vary from 30 minutes to
two hours. Thus, the burden for prehospital data is being reduced from 96
to 60 burden hours annually.
Similarly, the burden for post-hospital
data is reduced from 38 to 22 burden
hours annually, because data collection
will occur using GWTG or another

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondents

Form name

PCNASP Awardee ............................

Hospital inventory .............................
In-hospital care data ........................
Pre-hospital care data ......................

PCNASP Hospital Partners ..............

Hospital Inventory ............................

9
9
2
7
7
2
378

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

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

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

Post-hospital transition of care data

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Sfmt 4703

Number of
responses per
respondent

Average
burden
per response
(in hours)

Total burden
(in hours)

1
4
4
4
4
4
1

8
30/60
30/60
2
30/60
1
30/60

72
18
4
56
14
8
189

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

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

361

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Federal Register / Vol. 84, No. 26 / Thursday, February 7, 2019 / Notices

Jeffrey M. Zirger,
Acting Lead, Information Collection Review
Office, Office of Scientific Integrity, Office
of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019–01336 Filed 2–6–19; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–19–1104; Docket No. CDC–2018–
0114]

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 effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Assessing the ‘‘Impact of
Organizational and Personal
Antecedents on Proactive Health/Safety
Decision Making’’. This study seeks to
empirically understand the factors and
conditions that contribute to mine
workers’ safe decisions (or lack thereof)
while completing job tasks.
DATES: CDC must receive written
comments on or before April 8, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0114 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, 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. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(regulations.gov) or by U.S. mail to the
address listed above.
SUMMARY:

VerDate Sep<11>2014

17:23 Feb 06, 2019

Jkt 247001

To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Leroy A.
Richardson, 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 the OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. 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;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. 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 submissions
of responses.
5. Assess information collection costs.
FOR FURTHER INFORMATION CONTACT:

Proposed Project
Assessing the Impact of
Organizational and Personal
Antecedents on Proactive Health/Safety
Decision Making (OMB Control Number
0920–1104, Expiration 2/28/2019) —
Extension—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).

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Background and Brief Description
NIOSH, under Public Law 91–596,
Sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1977) has the responsibility to conduct
research relating to innovative methods,
techniques, and approaches dealing
with occupational safety and health
problems.
This research relates to the interplay
of personal and organizational
influences on risk-taking and proactive
decision-making behaviors among mine
workers. The antecedents, or
characteristics, that impact these
behaviors are not well understood in
mining. Understanding the degree to
which antecedents influence at-risk
decisions can inform the focus of future
health and safety management
interventions.
NIOSH proposed a project that sought
to empirically understand the following:
(1) What are the most influential
organizational antecedent
characteristics that support worker
health and safety (H&S) performance
behaviors in the mining industry?
(2) What are the most influential
personal antecedent characteristics that
support worker health and safety (H&S)
performance behaviors in the mining
industry?
To answer the above questions,
NIOSH researchers developed a
psychometrically supported survey.
Researchers identified seven worker
perception-based ‘organizational values’
and four ‘personal characteristics’ that
are presumed to be important in
fostering H&S proactive behaviors.
Because these emergent, worker
perception-based constructs have a
theoretical and empirical history,
psychometrically tested items exist for
each of them.
Upon approval of the previous ICR,
which expires on February 28, 2019,
recruitment and data collection
occurred from February 2016 to March
2018 with 2,683 mineworkers. The data
was analyzed to answer the
organizational/personal characteristics
that have the biggest impact on
proactive and compliant health and
safety behaviors. Dominance and
relative weights analysis were used as
the data analysis method to statistically
rank order the importance of predictors
in numerous regression contexts. Safety
proactivity and safety compliance
served as the dependent variables in
these regression analyses, with the
organizational and personal
characteristics as independent variables.
Findings are being used to improve
the safety and health organizational
values and focus of mine organizations,

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