[Federal Register Volume 77, Number 113 (Tuesday, June 12, 2012)]
[Notices]
[Pages 34951-34952]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-14207]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30-Day-12-12DO]


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) 639-7570 or send an email to 
[email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-5806. 
Written comments should be received within 30 days of this notice.

Proposed Project

    National Healthy Worksite Program--New--National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC) is 
establishing the National Healthy Worksite Program (NHWP), a 
comprehensive workplace health promotion program to address physical 
activity, nutrition, and tobacco use in the workplace. Participating 
worksites will create high quality workplace health programs by 
implementing programs, policies, and environmental supports that assist 
employees in adopting healthy behaviors. The NHWP will provide 
assistance to an estimated 100 small, mid-size, and large employers to 
create and expand sustainable workplace programs aimed at achieving 
three primary goals: (1) To reduce the risk of chronic disease among 
employees and their families through science-based workplace health 
interventions and promising practices; (2) to promote sustainable and 
replicable workplace health activities such as establishing a worksite 
committee, having senior leadership support, and forming community 
partnerships and health coalitions, and (3) to promote peer-to-peer 
business mentoring that encourages employers to be active leaders and 
role models in their communities around health.
    Over a three-year period, the National Healthy Worksite Program 
will engage and recruit groups of up to 15 employers in seven selected 
communities, lead them through the process of building a comprehensive 
workplace health program, and collect evaluation information. The NHWP 
will also provide workplace health program training to worksites that 
are not participating in the NHWP. CDC may increase the number of NHWP 
sites that receive assistance, if funding becomes available.
    CDC plans to collect information needed to select the initial group 
of participating NHWP worksites; to describe implementation and costs 
of workplace health promotion programs at these sites over the initial 
two-year period of support; to examine the effects of workplace health 
programs on employee access and opportunity to engage in activities 
that support a healthy lifestyle; and to quantify reductions in 
individual health risks and improvements in productivity. The NHWP will 
also assess the value of community-based training for community 
participants (employers not selected as participating employers). In 
addition, for up to one year after the two-year implementation period, 
CDC will collect information needed to assess program sustainability.
    Participation in the NHWP is voluntary for both worksites and 
employees at those sites. During the development phase of the proposed 
information collection, CDC received comments from a variety of 
interested parties, and a number of instruments were revised to improve 
clarity. There are no costs to participants other than their time, with 
the exception of an in-kind contribution for large employers.
    CDC will use the information collected to support the 
implementation efforts of employers participating in the NHWP; inform 
future program efforts at CDC and other Federal agencies; and develop 
tools, resources, and guidance to support broader workplace health 
efforts.
    OMB approval is requested for three years. The total estimated 
annualized burden hours are 15,530.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Interested Employer...................  Employer Phone Interview              69               1           20/60
                                         Guide.
Participating Employer................  Organizational                        66               2           30/60
                                         Assessment.
                                        Employee Eligibility                  33               4           15/60
                                         File.
                                        Employer Information                  33               1           30/60
                                         Form.
                                        Health Screening Site                 33               2           30/60
                                         Interview Form.
                                        Discussion Guide for                 100               1           30/60
                                         Steering Committee
                                         Members.

[[Page 34952]]

 
                                        Discussion Guide for                 166               1           30/60
                                         Wellness Committee
                                         Members.
                                        Employer Follow-Up                    33               1           15/60
                                         Survey.
Community Participant.................  Community Participant                 35               1           10/60
                                         Engagement Feedback
                                         Survey.
                                        Worksite Health Training             100               1           10/60
                                         Survey Parts I-III.
                                        Worksite Health Training             100               1           10/60
                                         Survey Part IV.
Employee..............................  Health Screening Consent/          5,000               1           10/60
                                         Contact Form.
                                        All Employee Survey.....           5,000               2            5/60
                                        Health Assessment.......           5,000               2           15/60
                                        Success Story Consent                 67               1           10/60
                                         Form.
                                        Satisfaction Survey.....           2,000               4           15/60
Employee: Wellness Challenge Log/       Lower Your Weight by               2,000               1               1
 Program Participant.                    Eight Challenge Log.
                                        Step into Health                   2,000               1           30/60
                                         Challenge Log.
                                        Mix it Up Challenge Log.           2,000               1           30/60
                                        Quench Your Thirst                 2,000               1           30/60
                                         Challenge Log.
                                        Feel Fit with Fiber                2,000               1           30/60
                                         Challenge Log.
                                        Maintain Don't Gain                2,000               1               1
                                         Challenge Log.
                                        Nutrition and Physical             2,000               1           30/60
                                         Activity Tracking Log/
                                         Lifestyle Tracker.
----------------------------------------------------------------------------------------------------------------


Kimberly 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. 2012-14207 Filed 6-11-12; 8:45 am]
BILLING CODE 4163-18-P