[Federal Register Volume 82, Number 194 (Tuesday, October 10, 2017)]
[Notices]
[Pages 46993-46994]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-21751]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17BAW; Docket No. CDC-2017-0083]


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 the Paul 
Coverdell National Acute Stroke Program (2015-2020) Evaluation.

DATES: CDC must receive written comments on or before December 11, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0083 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     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. 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: 
[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 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.

Proposed Project

    Paul Coverdell National Acute Stroke Program (2015-2020) 
Evaluation--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), Division for 
Heart Disease and Stroke Prevention (DHDSP), requests a three-year OMB 
approval for a new collection.
    The CDC is the primary Federal agency for protecting health and 
promoting quality of life through the prevention and control of 
disease, injury, and disability. CDC is committed to programs that 
reduce the health and economic consequences of the leading causes of 
death and disability, thereby ensuring a long, productive, healthy life 
for all people.
    Stroke remains a leading cause of serious, long-term disability and 
is the fifth leading cause of death in the United States after heart 
disease, cancer, chronic lower respiratory diseases, and accidents. 
Estimates indicate that approximately 795,000 people suffer a first-
ever or recurrent stroke each year with more than 130,000 deaths 
annually. Although there have been significant advances in preventing 
and treating stroke, the rising prevalence of heart disease, diabetes, 
and obesity has increased the relative risk for stroke, especially in 
African American populations. Moreover, stroke's lifetime direct cost 
of health care and indirect cost of lost productivity is staggering and 
imposes a substantial societal economic burden. Coverdell-funded state 
programs are in the forefront of developing and implementing system-
change efforts to improve emergency response systems, enhance the 
quality

[[Page 46994]]

of care for stroke, and improve transitions across stroke systems of 
care, including pre-event; transitions from EMS to acute care in 
hospitals; and transitions from hospitals to home, rehabilitation, 
stroke specialist care, and primary care providers.
    When Congress directed the Centers for Disease Control and 
Prevention (CDC) to establish the Paul Coverdell National Acute Stroke 
Program (PCNASP) in 2001, CDC intended to monitor trends in stroke and 
stroke care, with the ultimate mission of improving the quality of care 
for stroke patients in the United States. Since 2015, CDC has funded 
and provided technical assistance to nine state health departments to 
develop comprehensive stroke systems of care. A comprehensive system of 
care improves quality of care by creating seamless transitions for 
individuals experiencing stroke. In such a system, pre-hospital 
providers, in-hospital providers, and early post-hospital providers 
coordinate patient hand-offs and ensure continuity of care. CDC 
contracted with RTI International to conduct a national evaluation of 
the state health departments awarded grants in 2015 to assess their 
implementation in their state-based contexts and progress toward short- 
and intermediate-term outcomes.
    CDC and RTI International propose to collect information from all 
nine funded PCNASP grantees to gain insight into the effectiveness of 
implementation of their quality improvement strategies, development 
(and use) of a data integrated management system, and partner 
collaboration in building comprehensive state-wide stroke systems of 
care. The information collection will focus on describing PCNASP 
specific contributions to effective state-based stroke systems of care 
and the costs associated with this work.
    Two components of the information collection include: (1) Program 
implementation cost data collection from program partners using a cost 
and resource utilization tool; and (2) telephone interviews with key 
program stakeholders, such as the PCNASP principal investigator, 
program manager, quality improvement specialist, data analyst/program 
evaluator, and partner support staff. Cost data collection will focus 
on a stratified sample of partners' cumulative spending to support 
PCNASP activities, spending by reporting period, and spending 
associated with specific PCNASP strategies related to building 
comprehensive state-wide stroke systems of care. Interview questions 
will target how each grantee implemented its strategies, challenges 
encountered and how they were overcome, factors that facilitated 
implementation, lessons learned along the way, and observed outcomes 
and improvements.
    The information to be collected does not currently exist for large 
scale, statewide programs that employ multiple combinations of 
strategies led by state public health departments to build 
comprehensive stroke systems of care. The insights to be gained from 
this data collection will be critical to improving immediate efforts 
and achieving the goals of spreading and replicating state-level 
strategies that are proven programmatically and are cost-effective in 
contributing to a higher quality of care for stroke patients.

                                        Estimated Annualized Burden Hours
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                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
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Partner Program Manager.......  Cost Resource                205               2               2             820
                                 and Utilization
                                 Tool.
Principal Investigator........  Telephonic                     9               1               1               9
                                 Interviews.
Grantee Program Manager.......  Telephonic                     9               1               1               9
                                 Interviews.
Quality Improvement Specialist  Telephonic                     9               1               1               9
                                 Interviews.
Data Analyst/Program Evaluator  Telephonic                     9               1               1               9
                                 Interviews.
Partner Support Staff.........  Telephonic                    18               1               1              18
                                 Interviews.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             874
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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. 2017-21751 Filed 10-6-17; 8:45 am]
BILLING CODE 4163-18-P