[Federal Register Volume 79, Number 118 (Thursday, June 19, 2014)]
[Notices]
[Pages 35166-35169]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-14339]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-14-0666]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    The Centers for Disease Control and Prevention (CDC), as part of 
its continuing effort to reduce public burden, 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. To request more information on the 
below proposed project or to obtain a copy of the information 
collection plan and instruments, call 404-639-7570 or send comments to 
Leroy Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send 
an email to [email protected].
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
(OMB) approval. Comments are invited on: (a) Whether the proposed 
collection of information is necessary for the proper

[[Page 35167]]

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 a collection of information, to 
search data sources, to complete and review the collection of 
information; and to transmit or otherwise disclose the information. 
Written comments should be received within 60 days of this notice.

Proposed Project

    National Healthcare Safety Network (NHSN) (OMB No. 0920-0666, 
expires 10/31/2016)--Revision--National Center for Emerging and 
Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    The National Healthcare Safety Network (NHSN) is a system designed 
to accumulate, exchange, and integrate relevant information and 
resources among private and public stakeholders to support local and 
national efforts to protect patients and promote healthcare safety. 
Specifically, the data is used to determine the magnitude of various 
healthcare-associated adverse events and trends in the rates of these 
events among patients and healthcare workers with similar risks. The 
data will be used to detect changes in the epidemiology of adverse 
events resulting from new and current medical therapies and changing 
risks. The NHSN currently consists of five components: Patient Safety, 
Healthcare Personnel Safety, Biovigilance, Long-Term Care Facility 
(LTCF), and Dialysis. Two new components will be added within the next 
one to two years: Outpatient Procedure and Antimicrobial Use & 
Resistance.
    The Antimicrobial Use and Resistance (AUR) Component will be 
launched within NHSN that will specifically examine antimicrobial use 
(AU) and antimicrobial resistance (AR) within healthcare facilities. 
The goal of the AUR Component is to provide a mechanism for facilities 
to report and analyze antimicrobial use and/or resistance as part of 
local or regional efforts to reduce antimicrobial resistant infections 
through antimicrobial stewardship efforts or interruption of 
transmission of resistant pathogens at their facility. This revision 
submission includes one new form specific to the NHSN AUR Component.
    Significant additions were made to three NHSN facility surveys. 
Questions about infection control practices were added to gain a better 
understanding of current practices and identify areas to target 
prevention efforts among facilities that have reported a multidrug-
resistant organism. Questions about antibiotic stewardship were added 
to gain a better understanding of current efforts to improve antibiotic 
use in hospitals and to assess the quality of hospital antibiotic 
stewardship programs.
    Additionally, minor revisions have been made to 31 other forms 
within the package to clarify and/or update surveillance definitions. 
Three forms are being removed as patient vaccination monitoring will be 
removed from NHSN.
    The previously approved NSHN package included 56 individual 
collection forms; the current revision request adds one new form and 
removes three forms for a total of 54 forms. The reporting burden will 
increase by 172,943 hours, for a total of 4,277,716 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Registered Nurse (Infection     NHSN                       2,000               1            5/60             167
 Preventionist).                 Registration
                                 Form.
Registered Nurse (Infection     Facility Contact           2,000               1           10/60             333
 Preventionist).                 Information.
Registered Nurse (Infection     Patient Safety             6,000               1           50/60           5,000
 Preventionist).                 Component--Annu
                                 al Hospital
                                 Survey.
Registered Nurse (Infection     Group Contact              1,000               1            5/60              83
 Preventionist).                 Information.
Registered Nurse (Infection     Patient Safety             6,000              12           15/60          18,000
 Preventionist).                 Monthly
                                 Reporting Plan.
Registered Nurse (Infection     Primary                    6,000              44           30/60         132,000
 Preventionist).                 Bloodstream
                                 Infection (BSI).
Registered Nurse (Infection     Pneumonia (PNEU)           6,000              72           30/60         216,000
 Preventionist).
Registered Nurse (Infection     Ventilator-                6,000             144           25/60         360,000
 Preventionist).                 Associated
                                 Event.
Registered Nurse (Infection     Urinary Tract              6,000              40           30/60         120,000
 Preventionist).                 Infection (UTI).
Staff RN......................  Denominators for           6,000               9               3         162,000
                                 Neonatal
                                 Intensive Care
                                 Unit (NICU).
Staff RN......................  Denominators for           6,000               9               5         270,000
                                 Specialty Care
                                 Area (SCA)/
                                 Oncology (ONC).

[[Page 35168]]

 
Staff RN......................  Denominators for           6,000              54               5       1,620,000
                                 Intensive Care
                                 Unit (ICU)/
                                 Other locations
                                 (not NICU or
                                 SCA).
Registered Nurse (Infection     Surgical Site              6,000              36           35/60         126,000
 Preventionist).                 Infection (SSI).
Staff RN......................  Denominator for            6,000             540            5/60         270,000
                                 Procedure.
Laboratory Technician.........  Antimicrobial              6,000              12            5/60           6,000
                                 Use and
                                 Resistance
                                 (AUR)--Microbio
                                 logy Data
                                 Electronic
                                 Upload
                                 Specification
                                 Tables.
Pharmacy Technician...........  Antimicrobial              6,000              12            5/60           6,000
                                 Use and
                                 Resistance
                                 (AUR)--Pharmacy
                                 Data Electronic
                                 Upload
                                 Specification
                                 Tables.
Registered Nurse (Infection     Central Line               1,000             100            5/60           8,333
 Preventionist).                 Insertion
                                 Practices
                                 Adherence
                                 Monitoring.
Registered Nurse (Infection     MDRO or CDI                6,000              72           30/60         216,000
 Preventionist).                 Infection Form.
Registered Nurse (Infection     MDRO and CDI               6,000              24           15/60          36,000
 Preventionist).                 Prevention
                                 Process and
                                 Outcome
                                 Measures
                                 Monthly
                                 Monitoring.
Registered Nurse (Infection     Laboratory-                6,000             240           15/60         360,000
 Preventionist).                 identified MDRO
                                 or CDI Event.
Registered Nurse (Infection     Long-Term Care               250               1               1             250
 Preventionist).                 Facility
                                 Component--Annu
                                 al Facility
                                 Survey.
Registered Nurse (Infection     Laboratory-                  250               8           15/60             500
 Preventionist).                 identified MDRO
                                 or CDI Event
                                 for LTCF.
Registered Nurse (Infection     MDRO and CDI                 250              12            5/60             250
 Preventionist).                 Prevention
                                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 LTCF.
Registered Nurse (Infection     Urinary Tract                250               9           30/60           1,125
 Preventionist).                 Infection (UTI)
                                 for LTCF.
Registered Nurse (Infection     Monthly                      250              12            5/60             250
 Preventionist).                 Reporting Plan
                                 for LTCF.
Registered Nurse (Infection     Denominators for             250              12            3.25           9,750
 Preventionist).                 LTCF Locations.
Registered Nurse (Infection     Prevention                   250              12            5/60             250
 Preventionist).                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 LTCF.
Registered Nurse (Infection     LTAC Annual                  400               1           50/60             333
 Preventionist).                 Survey.
Registered Nurse (Infection     Rehab Annual               1,000               1           50/60             833
 Preventionist).                 Survey.
Registered Nurse (Infection     Antimicrobial                100              12            5/60             100
 Preventionist).                 Use &
                                 Resistance
                                 Component--Mont
                                 hly Reporting
                                 Plan.
Occupational Health RN/         Healthcare                    50               1               8             400
 Specialist.                     Personnel
                                 Safety
                                 Component
                                 Annual Facility
                                 Survey.
Occupational Health RN/         Healthcare                11,000               1            5/60             917
 Specialist.                     Personnel
                                 Safety Monthly
                                 Reporting Plan.
Occupational Health RN/         Healthcare                    50             200           20/60           3,333
 Specialist.                     Worker
                                 Demographic
                                 Data.
Occupational Health RN/         Exposure to                   50              50               1           2,500
 Specialist.                     Blood/Body
                                 Fluids.
Occupational Health RN/         Healthcare                    50              30           15/60             375
 Specialist.                     Worker
                                 Prophylaxis/
                                 Treatment.
Laboratory Technician.........  Follow-Up                     50              50           15/60             625
                                 Laboratory
                                 Testing.
Occupational Health RN/         Healthcare                    50              50           10/60             417
 Specialist.                     Worker
                                 Prophylaxis/
                                 Treatment-
                                 Influenza.
Medical/Clinical Laboratory     Hemovigilance                500               1               2           1,000
 Technologist.                   Module Annual
                                 Survey.
Medical/Clinical Laboratory     Hemovigilance                500              12            1/60             100
 Technologist.                   Module Monthly
                                 Reporting Plan.
Medical/Clinical Laboratory     Hemovigilance                500              12               1           6,000
 Technologist.                   Module Monthly
                                 Reporting
                                 Denominators.
Medical/Clinical Laboratory     Hemovigilance                500              48           15/60           6,000
 Technologist.                   Adverse
                                 Reaction.
Medical/Clinical Laboratory     Hemovigilance                500              10           10/60             833
 Technologist.                   Incident.
Staff RN......................  Outpatient                 5,000               1            5/60             417
                                 Procedure
                                 Component--Annu
                                 al Facility
                                 Survey.
Staff RN......................  Outpatient                 5,000              12           15/60          15,000
                                 Procedure
                                 Component--Mont
                                 hly Reporting
                                 Plan.

[[Page 35169]]

 
Staff RN......................  Outpatient                 5,000              25           40/60          83,333
                                 Procedure
                                 Component Event.
Staff RN......................  Outpatient                 5,000              12           40/60          40,000
                                 Procedure
                                 Component--Mont
                                 hly
                                 Denominators
                                 and Summary.
Registered Nurse (Infection     Outpatient                 6,500               1            1.75          11,375
 Preventionist).                 Dialysis Center
                                 Practices
                                 Survey.
Staff RN......................  Dialysis Monthly           6,500              12            5/60           6,500
                                 Reporting Plan.
Staff RN......................  Dialysis Event..           6,500              60           20/60         130,000
Staff RN......................  Denominators for           6,500              12            6/60           7,800
                                 Dialysis Event
                                 Surveillance.
Staff RN......................  Prevention                 1,500              12           30/60           9,000
                                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 Dialysis.
Staff RN......................  Dialysis Patient             325              75           10/60           4,063
                                 Influenza
                                 Vaccination.
Staff RN......................  Dialysis Patient             325               5           10/60             271
                                 Influenza
                                 Vaccination
                                 Denominator.
Epidemiologist................  State Health                 152              50           15/60           1,900
                                 Department
                                 Validation
                                 Record.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............       4,277,716
----------------------------------------------------------------------------------------------------------------


Leroy 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. 2014-14339 Filed 6-18-14; 8:45 am]
BILLING CODE 4163-18-P