[Federal Register Volume 73, Number 73 (Tuesday, April 15, 2008)]
[Notices]
[Pages 20295-20296]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-7971]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-08-08AB]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail 
to [email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    All Age Influenza Hospitalization Surveillance (Flu Hosp)--New--
National Center for Immunization and Respiratory Diseases (NCIRD) 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The data collection network is an established CDC-state-academic 
institution collaborative network, the Emerging Infections Program 
(EIP) which includes defined catchment areas in the states of 
California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New 
Mexico, New York, Oregon, and Tennessee. From October 1 through April 
30 (flu season), Flu Hosp sites will collect data in selected catchment 
areas using case report forms. Participating sites will also complete 
discharge audit forms following flu season.
    A standardized case report form will be completed for all persons 
meeting the case definition and inclusion criteria in the selected 
catchment areas. Most of the case report forms can be completed using 
data obtained from the laboratory and medical chart review. If the 
medical chart is not available, or the necessary information is not 
included in the medical record, the patient or their proxy may be 
interviewed.
    To address any limitation in completeness of case identification, a 
retrospective discharge audit will be conducted by each participating 
site following flu season. Based on a range of discharge diagnoses, 
persons aged 18 years or older who are residents of a geographically-
defined area and who were admitted to hospitals during October 1, 2007 
through April 30, 2008, will have their medical chart examined to 
identify whether they had an influenza positive test result at the 
beginning of their hospitalization. The discharge audit will determine 
if cases were missed by usual case ascertainment methods. The 
completeness evaluation is a matching (or linking) project, followed by 
chart abstraction of missed cases.
    The need for the information and proposed use(s) of the information 
are necessary because currently there is no national surveillance 
system in place that is able to estimate the burden of laboratory-
confirmed adult hospitalizations during seasonal or pandemic influenza 
within a given season. Additionally, because influenza is often 
underreported, including a retrospective discharge audit in addition to 
conducting prospective surveillance is needed to identify limitations 
in current surveillance efforts.
    The respondents for each of the forms are the 10 state health 
departments who submit biweekly case report forms for pediatric and 
adult influenza surveillance, and who submit discharge audit forms to 
CDC. Responses for the case report forms indicate the number of cases 
that are identified. The number of responses for all case report forms 
must be estimated as we do not know before hand how many cases will 
occur. Respondents are required to submit data for the Adult Flu Hosp 
project and the Pediatric Influenza Project to the CDC bi-weekly during 
flu season. Responses for Discharge Audit forms A-D indicate the number 
of times each site is required to fill out the respective form. Data 
for the Discharge audit will be a one-time data collection for each 
case. Although 10 states participate in Flu Hosp, because New York 
includes two functionally and geographically different catchment areas, 
those two areas will submit individual discharge audit data, to make a 
total of 11 respondents.
    There are no costs to respondents other than their time. The total 
estimated annualized burden is 508 hours.

[[Page 20296]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
               Form name                   Type of respondent        Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
 Pediatric Influenza Hospitalization     Health Department......              10              75           15/60
 Surveillance Project Case Report Form.
 Adult Influenza Hospitalization         Health Department......              10             120           15/60
 Surveillance Project Case Report Form.
 Adult Discharge Audit Case Report       Health Department......              11               3           15/60
 Form.
 Adult Discharge Audit Form A:           Health Department......              11               1           15/60
 Description of Matching Method.
 Adult Discharge Audit Form B:           Health Department......              11               1           15/60
 Sampling Strategy.
 Adult Discharge Audit Form C: Summary   Health Department......              11               1           15/60
 Adult Discharge Audit Form D: Future.   Health Department......              11               1           15/60
----------------------------------------------------------------------------------------------------------------


    Dated: April 8, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
 [FR Doc. E8-7971 Filed 4-14-08; 8:45 am]
BILLING CODE 4163-18-P