[Federal Register Volume 80, Number 143 (Monday, July 27, 2015)]
[Notices]
[Pages 44355-44357]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18301]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-15-15AWV; Docket No. CDC-2015-0060]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: 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 an information 
collection pertaining to the collection of tuberculosis-related 
information from United States Panel Physicians.

DATES: Written comments must be received on or before September 25, 
2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0060 by any of the following methods:
     Federal eRulemaking Portal: Regulation.gov. Follow the 
instructions for submitting comments.

[[Page 44356]]

     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 documents or 
comments received, go to Regulations.gov.

    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: 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: [email protected].

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 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

    Information Collection for Tuberculosis Data from Panel 
Physicians--An Existing Collection in Use Without an OMB Control 
Number--National Center for Emerging and Zoonotic Infections Diseases 
(NCEZID), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention's (CDC), National 
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division 
of Global Migration and Quarantine (DGMQ), Immigrant, Refugee, and 
Migrant Health Branch (IRMH), requests approval for a new information 
collection to request quarterly reports on certain tuberculosis data 
from U.S. panel physicians.
    The respondents are panel physicians. More than 760 panel 
physicians perform overseas pre-departure medical examinations in 
accordance with requirements, referred to as technical instructions, 
provided by the Centers for Disease Control and Prevention's Division 
of Global Migration and Quarantine, Quality Assessment Program (QAP). 
The role of QAP is to assist and guide panel physicians in the 
implementation of the Technical Instructions; evaluate the quality of 
the overseas medical examination for U.S.-bound immigrants and 
refugees; assess potential panel physician sites; and provide 
recommendations to the U.S. Department of State in matters of immigrant 
medical screening.
    To achieve DGMQ's mission, the Immigrant, Refugee and Migrant 
Health branch (IRMH) works with domestic and international programs to 
improve the health of U.S.-bound immigrants and refugees to protect the 
U.S. public by preventing the importation of infectious disease. These 
goals are accomplished through IRMH's oversight of medical exams 
required for all U.S.-bound immigrants and refugees who seek permanent 
residence in the U.S. IRMH is responsible for assisting and training 
the international panel physicians with the implementation of medical 
exam Technical Instructions (TI). Technical Instructions are detailed 
requirements and national policies regarding the medical screening and 
treatment of all U.S.-bound immigrants and refugees.
    Screening for tuberculosis (TB) is a particularly important 
component of the immigration medical exam and allows panel physicians 
to diagnose active TB disease prior to arrival in the United States. As 
part of the Technical Instructions requirements, panel physicians 
perform chest x-rays and laboratory tests that aid in the 
identification of tuberculosis infection (Class B1 applicants) and 
diagnosis of active tuberculosis disease (Class A, inadmissible 
applicants). CDC uses these classifications to report new immigrant and 
refugee arrivals with a higher risk of developing TB disease to U.S. 
state and local health departments for further follow-up. Some 
information that panel physicians collect as part of the medical exam 
is not reported on the standard Department of State forms (DS-forms), 
thereby preventing CDC from evaluating TB trends in globally mobile 
populations and monitoring program effectiveness.
    Currently, CDC is requesting this data to be sent by panel 
physicians once per year. The consequences of reducing this frequency 
would be the loss of monitoring program impact and TB burdens in mobile 
populations and immigrants and refugees coming to the United States on 
an annual basis. There is no cost to the respondents other than their 
time.

[[Page 44357]]



                                                            Estimated Annualized Burden Hours
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                                                                                                   Number of      Average burden per
            Type of respondents                       Form name                Number of         responses per       response (in     Total burden hours
                                                                              respondents         respondent            hours)
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International Panel Physicians (All sites)  TB Indicators Excel                         353                   1                 7.5               2,648
                                             Spreadsheet.
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    TOTAL.................................  ............................  ..................  ..................  ..................              2,648
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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. 2015-18301 Filed 7-24-15; 8:45 am]
BILLING CODE 4163-18-P