[Federal Register Volume 85, Number 27 (Monday, February 10, 2020)]
[Notices]
[Pages 7557-7558]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-02539]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-0728]
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 the National Notifiable Diseases Surveillance
System (NNDSS) 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 November
4, 2019 to obtain comments from the public and affected agencies. CDC
did not receive 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 No.
0920-0728, Exp. 4/30/2022)--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. 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.
CDC requests a three-year approval for a Revision for the NNDSS
(OMB Control No. 0920-0728, Expiration Date 04/30/2022). This Revision
includes requests for approval to: (1) Receive case notification data
for Blastomycosis which is now under standardized surveillance; (2)
receive case notification data for 2019-Novel Coronavirus (2019-nCoV)
which was declared a public health emergency of international concern
by the World Health Organization (WHO) on 01/30/2020 and declared a
public health emergency by the U.S. Department of Health and Human
Services (HHS) on 01/31/2020; and (3) receive disease-specific data
elements for Carbon Monoxide (CO) Poisoning, Congenital Syphilis, and
Sexually Transmitted Disease (not congenital).
The NNDSS currently facilitates the submission and aggregation of
case notification data voluntarily submitted to CDC from 60
jurisdictions: Public health departments in every U.S. state, New York
City, Washington DC, five U.S. territories (American Samoa, the
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the
U.S. Virgin Islands), and three freely associated states (Federated
States of Micronesia, the Republic of the Marshall Islands, and the
Republic of Palau). This information is shared across jurisdictional
boundaries and both surveillance and prevention and control activities
are coordinated at regional and national levels.
Approximately 90% of case notifications are encrypted and submitted
to NNDSS electronically from already existing databases by automated
electronic messages. When automated transmission is not possible, case
notifications are faxed, emailed, uploaded to a secure network, or
entered into a secure website. All case notifications that are faxed,
emailed, and uploaded are done so in the form of an aggregate weekly or
annual report, not individual cases. These different mechanisms used to
send case notifications to CDC vary by the jurisdiction and the disease
or condition. Private personally identifiable information (PII) is
collected from automated electronic messages and information can be
retrieved by PII. In addition, some combinations of submitted data
elements could potentially be used to identify individuals. Private
information is not to be disclosed unless otherwise compelled by law.
All data are treated in a secure manner consistent with the technical,
administrative, and operational controls required by the Federal
Information Security Management Act of 2002 (FISMA) and the 2010
National Institute of Standards and Technology (NIST) Recommended
Security Controls for Federal Information Systems and Organizations.
Weekly tables of nationally notifiable diseases are available through
CDC WONDER and data.cdc.gov. Annual summaries of finalized nationally
notifiable disease data are published on CDC WONDER and data.cdc.gov,
and disease-specific data are published by individual CDC programs.
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 for modernizing
surveillance systems as part of NNDSS Modernization Initiative (NMI)
implementation, separate burden
[[Page 7558]]
hours incurred for annual data reconciliation and submission, and
separate one-time burden hours incurred for the addition of new
diseases and data elements. The estimated annual burden is 18,354
hours.
Estimated Annualized Burden Hours
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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 Implementation) 50 52 4
States............................. Annual..................... 50 1 75
States............................. One-time Addition of 50 1 2
Diseases and Data Elements.
Territories........................ Weekly (Automated)......... 5 52 20/60
Territories........................ Weekly, Quarterly (Non- 5 56 20/60
automated).
Territories........................ Weekly (NMI Implementation) 5 52 4
Territories........................ Annual..................... 5 1 5
Territories........................ One-time Addition of 5 1 2
Diseases and Data Elements.
Freely Associated States........... Weekly (Automated)......... 3 52 20/60
Freely Associated States........... Weekly, Quarterly (Non- 3 56 20/60
automated).
Freely Associated States........... Annual..................... 3 1 5
Freely Associated States........... One-time Addition of 3 1 2
Diseases and Data Elements.
Cities............................. Weekly (Automated)......... 2 52 20/60
Cities............................. Weekly (Non-automated)..... 2 52 2
Cities............................. Weekly (NMI Implementation) 2 52 4
Cities............................. Annual..................... 2 1 75
Cities............................. One-time Addition of 2 1 2
Diseases and Data Elements.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2020-02539 Filed 2-7-20; 8:45 am]
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