[Federal Register Volume 83, Number 221 (Thursday, November 15, 2018)]
[Notices]
[Pages 57485-57486]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-24968]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-19-0728]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled National Notifiable Diseases Surveillance 
System to the Office of Management and Budget (OMB) for review and 
approval. CDC previously published a ``Proposed Data Collection 
Submitted for Public Comment and Recommendations'' notice on June 13, 
2018 to obtain comments from the public and affected agencies. CDC 
received 2 comments related to the previous notice. This notice serves 
to allow an additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) 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;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) 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 submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    National Notifiable Diseases Surveillance System (OMB Control 
Number: 0920-0728, Exp. Date: February 28, 2021)--Revision--Center for 
Surveillance, Epidemiology and Laboratory Services (CSELS), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    The Public Health Services Act (42 U.S.C. 241) authorizes CDC to 
disseminate nationally notifiable condition information. The National 
Notifiable Diseases Surveillance System (NNDSS) is based on data 
collected at the state, territorial and local levels as a result of 
legislation and regulations in those jurisdictions that require health 
care providers, medical laboratories, and other entities to submit 
health-related data on reportable conditions to public health 
departments. These reportable conditions, which include infectious and 
non-infectious diseases, vary by jurisdiction depending upon each 
jurisdiction's health priorities and needs. Infectious disease agents 
and environmental hazards often cross geographical boundaries. Each 
year, the Council of State and Territorial Disease Epidemiologists 
(CSTE), supported by CDC, determines which reportable conditions should 
be designated nationally notifiable or under standardized surveillance 
and voluntarily submitted to CDC so that information can be shared 
across jurisdictional boundaries and surveillance and prevention and 
control activities can be coordinated at regional and national levels.
    CDC requests a three-year approval for this Revision which includes 
(1) receipt of case notification data for Candida auris (C. auris) 
which is now nationally notifiable; (2) receipt of case notification 
data and disease-specific data elements for Carbapenemase-Producing 
Carbapenem-Resistant Enterobacteriaceae (CP-CRE) which is now 
nationally notifiable; (3) receipt of case notification data and 
disease-specific data elements for S. Paratyphi Infection which is now 
nationally notifiable; (4) renaming Typhoid Fever to ``S. Typhi 
Infection'' on the List of Nationally Notifiable Conditions; (5) 
receipt of case notification data and disease-specific data elements 
for Carbon Monoxide (CO) Poisoning; (6) receipt of case notification 
data and disease-specific data elements for Tuberculosis (TB) Disease; 
(7) receipt of case notification data and disease-specific data 
elements for Latent TB Infection which is now under standardized 
surveillance; (8) receipt of case notification data for Respiratory 
Syncytial Virus (RSV)-Associated Mortality which is now under 
standardized surveillance; (9) receipt of disease-specific data 
elements for Shiga Toxin-Producing Escherichia coli (STEC), 
Salmonellosis, Shigellosis, Campylobacteriosis, Cryptosporidiosis, 
Cyclosporiasis, Cholera, Vibriosis, S. Typhi Infection, S. Paratyphi 
Infection, Lyme Disease, Invasive Haemophilus influenzae Disease, 
Meningococcal Disease, Invasive Pneumococcal Disease, Psittacosis, 
Legionellosis, Tickborne Rickettsial Diseases (TBRD), and Hepatitis; 
and (10) the extension of the pilot period by two years for receiving 
sexual orientation and gender identity (SO/GI) data elements for 
sexually transmitted diseases (STD).
    The burden estimates include the number of hours that the public 
health department uses to process and send case notification data from 
their jurisdiction to CDC. Specifically, the burden estimates include 
separate burden hours incurred for automated and non-automated 
transmissions, separate weekly burden hours incurred

[[Page 57486]]

for modernizing surveillance systems as part of NNDSS Modernization 
Initiative (NMI) implementation, separate burden hours incurred for 
annual data reconciliation and submission, and separate one-time burden 
hours incurred for the addition of new diseases and data elements. 
These estimates are based on information from CDC employees that manage 
the NMI effort and conduct site visits to provide technical assistance 
to help the public health departments modernize their surveillance 
systems. The estimated annual burden is 19,527 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
States................................  Weekly (Automated)......              50              52           20/60
States................................  Weekly (Non-automated)..              10              52               2
States................................  Weekly (NMI                           50              52               4
                                         Implementation).
States................................  Annual..................              50               1              75
States................................  One-time Addition of                  50               1              27
                                         Diseases and Data
                                         Elements.
Territories...........................  Weekly (Automated)......               1              52           20/60
Territories...........................  Weekly, Quarterly (Non-                5              56           20/60
                                         automated).
Territories...........................  Weekly (NMI                            5              52               4
                                         Implementation).
Territories...........................  Annual..................               5               1               5
Territories...........................  One-time Addition of                   1               1               2
                                         Diseases and Data
                                         Elements.
Freely Associated States..............  Weekly, Quarterly (Non-                3              56           20/60
                                         automated).
Freely Associated States..............  Annual..................               3               1               5
Cities................................  Weekly (Automated)......               2              52           20/60
Cities................................  Weekly (Non-automated)..               2              52               2
Cities................................  Weekly (NMI                            2              52               4
                                         Implementation).
Cities................................  Annual..................               2               1              75
Cities................................  One-time Addition of                   2               1              27
                                         Diseases and Data
                                         Elements.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-24968 Filed 11-14-18; 8:45 am]
 BILLING CODE 4163-18-P