[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
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Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (hours)
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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