[Federal Register Volume 88, Number 78 (Monday, April 24, 2023)]
[Notices]
[Pages 24800-24802]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-08570]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-23-22IU]


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 ``Evaluation of Healthcare Worker Mental 
Health Campaign'' 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 16, 2022 to obtain comments from the public and affected 
agencies. CDC received three 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

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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

    Evaluation of Healthcare Worker Mental Health Campaign--New--
National Institute for Occupational Safety and Health (NIOSH), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    As part of the COVID-19 American Rescue Plan of 2021, in response 
to a congressional mandate, and on the heels of the passage of the Dr. 
Lorna Breen Health Care Provider Protection Act, the National Institute 
for Occupational Safety and Health (NIOSH), within the Centers for 
Disease Control and Prevention (CDC), is taking an active stance to 
address mental health concerns among the more than 20 million workers 
in the nation's healthcare sector. For many years now, health workers 
have reported feeling undervalued, overworked, and overwhelmed. A 2012 
study that surveyed more than 7,000 physicians found that nearly half 
of them had symptoms of burnout. The COVID-19 pandemic has only 
exacerbated the strain and pressure facing health workers as they 
endure unprecedented challenges that make working in this field 
exponentially harder on their own health and wellbeing. So much so that 
the wellbeing of those who dedicate their days and nights to keeping us 
healthy has surpassed a point of crisis. Depression, anxiety, and PTSD 
are highly prevalent among health workers across the United States. A 
systematic review of studies addressing burnout among nurses found that 
more than a third (34.1%) had emotional exhaustion. A 2020 survey of 
healthcare workers found that 86% reported experiencing anxiety, and 
39% did not feel like they had adequate emotional support.
    NIOSH, the federal agency tasked with conducting research to 
contribute to reductions in occupational illnesses, injuries, and 
hazards, and its contractor, JPA Health, plan to develop, implement, 
and evaluate a social marketing campaign that aims to raise health 
worker and healthcare executive awareness of mental health risks, 
promote help seeking and treatment among health workers experiencing 
burnout and job-related distress, reduce stigma associated with health 
workers' mental health help seeking, and establish organizational 
policies and practices that support worker mental health. For NIOSH, 
this project requires more than a messaging campaign and aims to marry 
communications best practices with behavior and systems change 
strategies to start addressing the working conditions that contribute 
to job-related distress, structural barriers that prevent health 
workers from seeking help, and healthcare executives from providing 
mental health services and supports.
    While many individual-level interventions specific to healthcare 
and healthcare workers exist, very few interventions address the 
organizational level causes of health worker burnout. It is for this 
reason that we are proposing a one year approval to collect follow-up 
survey data. This will allow us to examine whether hospital leader and 
healthcare worker exposure to, and engagement with, campaign activities 
and messages contribute to changes in their knowledge, beliefs, and 
practices thought to promote healthcare worker mental health and well-
being.
    The surveys will include a representative sample of healthcare 
workers and hospital leaders that hail from relevant partner network 
organizations of the All In: Wellbeing First for Healthcare network. 
The goal is a representative sample of 3,000 healthcare workers and 500 
hospital leaders. Assuming a 25% response rate, JPA/EDC must include 
12,000 healthcare workers and 2,000 hospital leaders in the initial 
sample. The survey will be completed at eight and 10 months after 
campaign launch. Half the representative sample will be drawn at each 
data collection period. Both the healthcare worker and hospital leader 
surveys should take no more than 10 minutes to complete.
    The version of the information collection available during previous 
public comment period included a quasi-experimental study with 12 
hospitals (six intervention and six comparison) and pre-post surveys 
and interviews. Due to logistical challenges and time constraints, the 
quasi-experimental study has been discontinued. CDC now requests OMB 
approval for an estimated 2,333 annual burden hours. There is no cost 
to respondents other than their time to participate.

                                        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)
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Healthcare Worker.....................  Follow-up Survey........          12,000               1           10/60
Hospital Leader.......................  Follow-up Survey........           2,000               1           10/60
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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. 2023-08570 Filed 4-21-23; 8:45 am]
BILLING CODE 4163-18-P