[Federal Register Volume 87, Number 99 (Monday, May 23, 2022)]
[Notices]
[Pages 31239-31240]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-10992]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-22-1233; Docket No. CDC-2022-0067]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
federal agencies the opportunity to comment on a continuing information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled Paul Coverdell National Acute Stroke Program (PCNASP) (DP21-
2102) Evaluation. This project will collect information from funded 
PCNASP recipients to gain insight into the effectiveness of 
implementation approaches, including linking and using data, using 
team-based approaches to coordinate stroke care, and providing 
community resources in order to reach the general population and those 
at highest risk of stroke events, and reduce disparities in access to 
quality care for high burden populations.

DATES: CDC must receive written comments on or before July 22, 2022.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0067 by either of the following methods:
     Federal eRulemaking Portal: www.regulations.gov. Follow 
the instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (www.regulations.gov) or by U.S. mail to the address listed 
above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; 
Email: [email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected;
    4. 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 
submissions of responses; and
    5. Assess information collection costs.

Proposed Project

    Paul Coverdell National Acute Stroke Program (PCNASP) (DP21-2102) 
Evaluation (OMB Control No. 0920-1233)--Reinstatement--National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    The CDC is the primary federal agency for protecting health and 
promoting quality of life through the prevention and control of 
disease, injury, and disability. CDC is committed to programs that 
reduce the health and economic consequences of the leading causes of 
death and disability, thereby ensuring a long, productive, healthy life 
for all people.
    Stroke remains a leading cause of serious, long-term disability and 
is the fifth leading cause of death in the United States after heart 
disease, cancer, chronic lower respiratory diseases, and accidents. 
Estimates indicate that approximately 795,000 people suffer a first-
ever or recurrent stroke each year with more than 146,000 deaths 
annually. Although there have been significant advances in preventing 
and treating stroke, the rising prevalence of heart disease, diabetes, 
and obesity has increased the relative risk for stroke, especially in 
African American populations. Moreover, stroke's lifetime direct cost 
of health care and indirect cost of lost productivity is staggering and 
imposes a substantial societal economic burden.
    State programs funded through the Paul Coverdell National Acute 
Stroke Program (PCNASP) are in the forefront of developing and 
implementing system-change efforts to improve stroke systems of care by 
using strategies like linking and using data, using team-based 
approaches to coordinate stroke care, and providing community resources 
to reach the general populations and specifically those at highest risk 
of stroke events, and reduce disparities in access to quality care for 
high burden populations.
    When Congress directed the CDC to establish PCNASP in 2001, CDC 
intended to monitor trends in stroke and stroke care, with the ultimate 
mission of improving the quality of care for stroke patients in the 
United States. Since 2021, CDC has funded and provided technical 
assistance to thirteen recipients to develop comprehensive stroke 
systems of care. A comprehensive system of care improves quality of 
care by creating seamless transitions for individuals experiencing 
stroke. In such a system, pre-hospital providers, in-hospital 
providers, and early post-hospital providers coordinate patient hand-
offs and ensure continuity of care.
    While PCNASP has existed since 2001, the goal and mission of the 
program has evolved with each funding cycle. The 2021-2024 funding 
cycle is the first such initiative to focus on addressing health equity 
specifically and understanding efforts to impact stroke outcomes for 
those at highest risk of stroke. CDC contracted with RTI International 
to conduct a national evaluation to assess program

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implementation as well as short term and intermediate outcomes of the 
thirteen funded recipients.
    CDC and RTI International propose to collect information from all 
thirteen funded PCNASP recipients to gain insight into the 
effectiveness of implementation approaches, including linking and using 
data, using team based approaches to coordinate stroke care, and 
providing community resources in order to reach the general population 
and those at highest risk of stroke events, and reduce disparities in 
access to quality care for high burden populations.
    The information collection will focus on describing PCNASP specific 
contributions to effective state-based stroke systems of care and the 
costs associated with this work. Two components of the information 
collection include: (1) Program implementation cost data collection 
from program recipients using a cost collection tool; and (2) 
interviews with key program and partner staff. Cost data collection 
will focus on recipients' cumulative spending to support PCNASP 
activities, spending by reporting period, and spending associated with 
specific PCNASP strategies related to building comprehensive state-wide 
stroke systems of care and strategies focusing on high-risk 
populations. Interview questions will focus on how each recipient 
implemented its strategies to increase access to and quality of 
healthcare overall, as well as for patients at highest risk of stroke 
events. It will identify challenges encountered and how they were 
overcome, factors that facilitated implementation, lessons learned 
along the way, and observed outcomes and improvements. The information 
to be collected does not currently exist for large scale, statewide 
programs that employ multiple combinations of strategies to build 
comprehensive stroke systems of care.
    The insights to be gained from this data collection will be 
critical to improving immediate efforts and achieving the goals of 
spreading and replicating state-level strategies that are proven 
programmatically and are cost-effective in contributing to a higher 
quality of care for stroke patients. OMB approval is requested for 
three years. CDC requests OMB approval for an estimated 104 annual 
burden hours. Participation is voluntary and there are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
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Program Manager...............  Cost Collection               13               1               2              26
                                 Tool.
Program Director..............  Interview.......              13               1               1              13
Quality Improvement Specialist  Interview.......              13               1               1              13
Partner Support Staff.........  Interview.......              52               1               1              52
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             104
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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. 2022-10992 Filed 5-20-22; 8:45 am]
BILLING CODE 4163-18-P