[Federal Register Volume 84, Number 129 (Friday, July 5, 2019)]
[Notices]
[Pages 32178-32179]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-14297]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-19ACB]


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 ``The Drug Overdose Surveillance and 
Epidemiology (DOSE)'' 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 
April 2, 2019 to obtain comments from the public and affected agencies. 
CDC received one comment 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

    Drug Overdose Surveillance and Epidemiology (DOSE)--New--National 
Center for Injury Prevention and Control (NCIPC), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    The rapid increase in opioid overdose deaths since 2013, numerous 
severe fentanyl and fentanyl analog outbreaks occurring since 2015 
across the United States, and the declaration of the opioid overdose 
epidemic as a national public health emergency on October 26, 2017 have 
highlighted the urgent need to rapidly establish and enhance timely 
surveillance of suspected drug, opioid, heroin, and stimulant 
overdoses. These data are critical to inform timely local, state, and 
regional response, especially to acute and/or widespread multi-state 
outbreaks.
    This new data collection effort is an essential component toward 
reducing the opioid crisis, one of HHS Department's top priorities. 
DOSE data is critical to our ability to rapidly identify outbreaks and 
provide situational awareness of changes in emergency department (ED) 
visits involving suspected drug, opioid, heroin and stimulant overdoses 
at the local, state, and regional level. This will

[[Page 32179]]

be accomplished by standardizing and enhancing sharing of existing ED 
data locally collected by 52 health departments (all 50 state health 
departments, the health department of Puerto Rico, and the health 
department of the District of Columbia) with CDC. In addition, CDC 
leadership communicates with HHS on an ongoing basis and this data is 
part of its request to better monitor, plan and implement programs to 
prevent overdose and reduce subsequent harms.
    DOSE proposes to fund 52 health departments (50 state health 
departments, the health department of Puerto Rico and the health 
department of the District of Columbia) to rapidly share existing ED 
data on counts of ED visits involving suspected drug, opioid, heroin, 
and stimulant overdoses using two standard data forms (i.e., the Rapid 
ED overdose data form and the ED discharge overdose data form) and 
standard CDC case definitions.
    The system will leverage ED syndromic data and hospital discharge 
data on ED visits already routinely collected by state and territorial 
health departments. No new data will be systematically collected from 
EDs, and health departments will be reimbursed by CDC for the burden 
related to sharing ED data with CDC. Fifty-two funded health 
departments (50 state health departments, Puerto Rico, and the District 
of Columbia) will rapidly share existing ED data with CDC on a monthly 
basis using the Rapid ED overdose data form and standard CDC case 
definitions. Data may come from different local ED data systems, but is 
expected to cover at least 75% of ED visits in the jurisdiction (e.g., 
state).
    CDC will require all participating health departments to provide 
counts of ED visits involving suspected drug, opioid, heroin, and 
stimulant overdoses by county, age group, sex, and time (i.e., month 
and year) in a standardized manner using the Rapid ED overdose data 
form, which is an Excel data template. This form also collects data 
quality indicators such as percent of ED visits missing data on key 
variables (i.e., metadata). In order to assess and improve rapid ED 
data sharing, all 52 participating health departments will also be 
asked to share counts of ED visits involving suspected drug, opioid, 
heroin and stimulant overdoses by county, age group, sex, and time 
(i.e., month and year) from more finalized hospital discharge files, 
the current surveillance standard. The data will be shared with CDC on 
a quarterly or yearly basis using a standardized Excel data form, the 
ED discharge overdose data form, and standard CDC case definitions. The 
total estimated annual burden hours are 1,542. There are no costs to 
the respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent        (hours)
----------------------------------------------------------------------------------------------------------------
State health departments, the DC        Rapid ED overdose data                28              12               3
 health department and PR health         form.
 department.
Jurisdictions sharing case-level ED     Rapid ED overdose data                24              12           30/60
 data with CDC through the NSSP          form.
 BioSense (OMB #0920-0824).
State health departments, the DC        ED discharge overdose                 26               4               3
 health department and PR health         data form.
 department.
State health departments, the DC        ED discharge overdose                 26               1               3
 health department and PR health         data form--Year.
 department.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-14297 Filed 7-3-19; 8:45 am]
BILLING CODE 4163-19-P