[Federal Register Volume 83, Number 224 (Tuesday, November 20, 2018)]
[Notices]
[Pages 58571-58572]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-25274]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-18AFX]


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 Traumatic Brain Injury Disparities in Rural 
Areas (TBIDRA) 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 7, 
2018 to obtain comments from the public and affected agencies. CDC 
received two 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

    Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)--New -- 
National Center for Injury Prevention and Control (NCIPC), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    Traumatic Brain Injury (TBI) is a significant public health concern 
in the United States. Research indicates that residents of rural areas 
have both higher

[[Page 58572]]

incidence and higher mortality rates from TBI than do residents of 
urban areas, and that the prevalence of TBI-related disability in rural 
geographical areas is higher than in urban and suburban areas. The 
obstacles healthcare providers and patients face in rural areas are 
vastly different from those in urban areas. There is little published 
research specifically related to the challenges rural providers face in 
TBI diagnosis and treatment, and even less examination into effective 
ways to address gaps in service and improve TBI outcomes. The National 
Center for Injury Prevention and Control at the CDC, in a 2015 ``Report 
to Congress on TBI in the United States,'' determined that certain 
population groups, including residents of rural geographic areas, 
require special consideration when it comes to researching TBI.
    This is a New Information Collection Request for two years to 
collect information on challenges that rural healthcare providers face 
in diagnosing, treating, and managing TBI of all severities and 
developing a knowledge base upon which we can begin to address gaps in 
services to improve clinical care and TBI outcomes in rural 
communities. The target population for the data collection effort 
includes physicians, nurse practitioners (NPs), and physician 
assistants (PAs) in selected specialties (general or family practice, 
emergency medicine, pediatrics) working in direct patient care in rural 
and urban areas. The focus of the study is rural healthcare providers; 
urban healthcare providers will be included in this study to allow for 
comparison in identifying the distinct challenges and opportunities for 
rural healthcare providers. This study has two data collection methods. 
A web survey to gather quantitative data on the unique challenges faced 
by rural clinicians, and focus groups to gain deeper insight into the 
context supporting and/or inhibiting access to comprehensive TBI 
evaluation and treatment, the study will collect qualitative data 
through focus groups with rural clinicians.
    The total estimated annualized burden hours are 200. There is no 
cost to respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent       (in hrs)
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Health care providers (Primary Care     TBI Provider Survey.....             600               1           15/60
 Physician, Emergency Physician, Nurse
 Practitioner and Physician Assistant).
                                        Focus group screener....              36               1            5/60
                                        Focus group consent and               31               1            5/60
                                         questionnaire.
                                        Focus group discussion                31               1           85/60
                                         guide.
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Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-25274 Filed 11-19-18; 8:45 am]
BILLING CODE 4163-18-P