[Federal Register Volume 85, Number 162 (Thursday, August 20, 2020)]
[Notices]
[Pages 51435-51436]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-18278]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-20-1204]


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 ``Behavioral Risk Factor Surveillance System 
(BRFSS) Asthma Call-back Survey (ACBS)'' 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 06/02/2020 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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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

    Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back 
Survey (ACBS) (OMB Control No. 0920-1204, Exp. 11/30/2020)--Revision--
National Center for Environmental Health (NCEH), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    The CDC's National Center for Environmental Health (NCEH) is 
requesting a three-year Paperwork Reduction Act (PRA) clearance to 
revise and continue to collect information under the ``Behavioral Risk 
Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS)'' 
(OMB Control No. 0920-1204, Expiration Date 11/30/2020).
    The ACBS is funded by the NCEH National Asthma Control Program 
(NACP) in the Asthma and Community Health Branch (ACHB). The ACBS is a 
follow-up survey on asthma and is administered on behalf of NCEH by the 
CDC's National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP) BRFSS Program. The BRFSS (OMB Control No. 0920-
1061, Expiration date 3/31/2021) is a nationwide system of customized, 
cross-sectional telephone health surveys. The BRFSS information 
collection is conducted in a continuous, three-part telephone interview 
process: Screening, participation in a common BRFSS core survey, and 
participation in optional question modules that states use to customize 
survey content. BRFSS coordinators in the health departments in U.S. 
states, territories, and the District of Columbia (collectively 
referred to as ``states'' and ``jurisdictions'') are responsible for 
both the BRFSS and the ACBS administration.
    The purpose of ACBS is to gather state-level asthma data and to 
make them available to track the burden of the disease, to monitor 
adherence to asthma guidelines, and to direct and evaluate 
interventions undertaken by asthma control programs located in state 
health departments. Beyond asthma prevalence estimates, for most 
states, the ACBS provides the only sources of adult and child asthma 
data on the state and local level.
    Data collection for ACBS involves screening, obtaining permission, 
consenting, and telephone interviewing on a subset of the BRFSS 
respondents from participating states. The ACBS eligible respondents 
are BRFSS adults, 18 years and older, who report ever being diagnosed 
with asthma. In addition, some states include children, below 18 years 
of age, who are randomly selected subjects in the BRFSS household. 
Parents or guardians serve as ACBS proxy respondents for their children 
ever diagnosed with asthma. If both the BRFSS adult respondent and the 
selected child in the household have asthma, then only one or the other 
is eligible for the ACBS.
    State BRFSS Coordinators submit de-identified data files to CDC on 
a monthly or quarterly basis for cleaning and weighting. The CDC BRFSS 
ACBS operation team returns clean, weighted data files to the state of 
origin for its use. The ACBS adds considerable state-level depth to the 
existing body of asthma data. It addresses critical questions 
surrounding the health and experiences of persons with asthma. Health 
data include symptoms, environmental factors, and medication use among 
persons with asthma. Data on their experiences include activity 
limitation, health system use, and self-management education. These 
asthma data are needed to direct and evaluate interventions undertaken 
by asthma control programs located in state health departments. Federal 
agencies and other entities also rely on this critical information for 
planning and evaluating efforts, and to reduce the burden from this 
disease. The CDC makes annual ACBS datasets available for public use 
and provides guidance on statistically appropriate uses of the data.
    The NACP provides its 40 participating states with technical and 
methodological assistance. Based on feedback from ACBS working groups, 
the NACP proposes to revise the ACBS protocol to improve response. The 
protocol revisions include three significant changes. First, the ACBS 
interview will be done within two days of the BRFSS interview based on 
a NACP project that evaluated the impact of the original two-week lag 
on reduced ACBS response rates. Secondly, in households where both the 
randomly selected child and adult responding to the BRFSS have a 
diagnosis of asthma, the NACP requests to increase the child proportion 
from 50% up to 75%--100% to maximize the child sample size. Thirdly, 
the NACP requests to drop the option of identifying the Most

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Knowledge Person for child respondents in the ACBS, and to move it to 
the BRFSS state-added questions section.
    Also, in response to the 2017 Terms of Clearance, the NACP 
undertook efforts to streamline the 2021 ACBS questionnaire, reduce 
unnecessary burden, and ensure that the question wording is 
synchronized with more recent studies. The questionnaires were re-
evaluated by ACBS questionnaire working groups and the ACBS recipients.
    The time burden estimates are based on the 2016 ACBS data 
collection, which is the most recent data released. The burden table 
reflects the landline and cell phone data collection methods used in 
2016 and later years. Additionally, the time burden accounts for 
reporting burden incurred by the states for the monthly or quarterly 
adult and child ACBS data submissions to CDC. The total estimated 
annualized time burden for all respondents is 6,615 hours. 
Participation in the ACBS is voluntary and there are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondents                   Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
BRFSS Adults..........................  ACBS Landline Screener--          17,800               1            1/60
                                         Adult.
                                        ACBS Cell Phone                   16,733               1            1/60
                                         Screener--Adult.
BRFSS Parents or Guardians of Children  ACBS Landline Screener--           2,576               1            1/60
                                         Child.
                                        ACBS Cell Phone                    3,824               1            1/60
                                         Screener--Child.
ACBS Adults...........................  ACBS Adult Consent and            23,166               1           10/60
                                         Questionnaire.
ACBS Parents or Guardians of Children.  ACBS Child Consent and             3,787               1           10/60
                                         Questionnaire.
State BRFSS Coordinators..............  ACBS Adult Data                       40              12          155/60
                                         Submission Layout.
                                        ACBS Child Data                       40              12           25/60
                                         Submission Layout.
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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. 2020-18278 Filed 8-19-20; 8:45 am]
BILLING CODE 4163-18-P