[Federal Register Volume 88, Number 57 (Friday, March 24, 2023)]
[Notices]
[Pages 17850-17851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06165]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-23-23CU; Docket No. CDC-2023-0012]
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 proposed information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled, Advancing Violence Epidemiology in Real-Time (AVERT). This data
collection will help improve state and local jurisdictions' ability to
identify, respond to, and prevent violence.
DATES: CDC must receive written comments on or before May 23, 2023.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0012 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,
[[Page 17851]]
e.g., permitting electronic submissions of responses; and
5. Assess information collection costs.
Proposed Project
Advancing Violence Epidemiology in Real-Time (AVERT)--NEW--National
Center for Injury Prevention and Control (NCIPC), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Firearm deaths and injuries are a serious public health problem in
the United States. In 2021, more than 47,000 people died because of a
firearm-related injury, according to provisional mortality data from
the CDC's National Vital Statistics System. Many more people suffer
nonfatal firearm-related injuries, and some areas and populations are
disproportionately affected by firearm injuries. In an analysis of
Emergency Department (ED) visits from 10 U.S. jurisdictions, the
proportion of ED visits for firearm injuries were higher in communities
that experienced more poverty, unemployment, lower incomes, and lower
educational attainment. People hospitalized with nonfatal gunshot
wounds often experience long-term consequences, including physical
disabilities and chronic mental health problems from conditions such as
post-traumatic-stress disorder. The economic impact of firearm injury
and mortality is also substantial, costing the U.S. billions of dollars
each year in medical and lost productivity costs alone, according to
CDC's Web-based Injury Statistics Query and Reporting System (WISQARS)
Cost of Injury module. An understanding of the full extent of the
problem is crucial to informing prevention and response strategies and
reducing future incidents.
Timely state- and local-level data on ED visits for firearm
injuries are currently limited. More context on ED visits for firearm
injuries (regardless of intent), other violence-related injuries, and
mental health conditions (which may increase risk for, or be a negative
outcome associated with firearm injuries and other violence-related
injuries) is also needed. The collection of near real-time data on ED
visits for these outcomes of interest at the state- and local-level
could improve state and local jurisdictions' ability to identify,
respond to, and prevent violence. These data can also be used to
identify, track, and address disparities in ED visits for firearm
injuries, violence-related injuries, and mental health conditions.
The AVERT data collection integrates, expands, and enhances
previous data sharing efforts with public health departments initiated
under the Firearm Injury Surveillance Through Emergency Rooms (FASTER)
program, which provided funding for 10 jurisdictions to share firearm
injury-related ED visit data with CDC. The goal of AVERT is to build on
the FASTER program and provide funding to a minimum of 10 jurisdictions
to share timely ED data for all firearm injuries (regardless of
intent), other violence-related injuries, and mental health conditions.
AVERT is made possible because the vast majority of the participating
health departments are already rapidly collecting extensive data on ED
visits in their jurisdiction and using these data for the
identification of public health concerns, including flu, heat-related
illness, and disaster-related health issues. AVERT will support states
to conduct routine monitoring of these data to identify ED visits
related to firearm injuries (regardless of intent), other violence-
related injuries, and mental health conditions, in addition to analyze
these data in a timely manner and share these data with CDC. The AVERT
program will ensure participating jurisdictions use their data to track
all firearm injuries, other violence-related injuries, and mental
health conditions by providing participating jurisdictions standardized
definitions, which can facilitate rapid identification and tracking of
ED data on violence.
AVERT leverages existing ED data collection efforts deployed across
state health departments through CDC's National ED Syndromic
Surveillance program. The Division of Health Informatics and
Surveillance (DHIS) in the Center for Surveillance, Epidemiology, and
Laboratory Services (CSELS) in CDC operates the National Syndromic
Surveillance Program (NSSP) BioSense Platform (OMB Control No. 0920-
0824) through which state and local health departments share
preliminary data such as the chief complaint of the patient seeking
care at the ED.
CDC requests OMB approval for an estimated 30 annual burden hours.
There are no costs to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Total number
Number of of responses Average burden Total annual
Type of respondent Form name respondents per per response burden (hours)
respondent (hours)
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Participating health ED form (ED 10 6 30/60 30
departments sharing case- violence data
level ED data with CDC form).
through the NSSP BioSense
(OMB Control No. 0920-0824).
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Total..................... ................ .............. .............. .............. 30
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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. 2023-06165 Filed 3-23-23; 8:45 am]
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