[Federal Register Volume 88, Number 139 (Friday, July 21, 2023)]
[Notices]
[Pages 47141-47142]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-15543]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-23-23CV]


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 ``Reducing Fatigue Among Taxi/Rideshare 
Drivers'' 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 March 10, 
2023 to obtain comments from the public and affected agencies. CDC 
received four non-substantive 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

    Reducing Fatigue Among Taxi/Rideshare Drivers--New--National 
Institute for Occupational Safety and Health (NIOSH), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    Taxi drivers routinely work long hours and late night or early 
morning shifts. Shift work and long work hours are linked to many 
health and safety risks due to disturbances to sleep and circadian 
rhythms. Fatigue is a significant contributor to transportation-related 
injuries, most notably among shift workers. Such work schedules and 
inadequate sleep likely contribute to health issues and injuries among 
taxi drivers who experience a roadway fatality rate of 3.5 times higher 
than all civilian workers and had the highest rate of nonfatal work-
related motor vehicle injuries treated in emergency departments. The 
urban and interurban transportation industry ranks the third highest in 
costs per employee for motor vehicle crashes. Tired drivers endanger 
others on the road (e.g., other drivers, passengers, bicyclists, 
pedestrians) in addition to themselves and their passengers. An 
important approach to reducing fatigue-related risks is to inform 
employers and taxi drivers about the risks and strategies to reduce 
their risks.
    The purpose of this project is to evaluate a training program to 
inform taxi drivers and other drivers for hire who transport passengers 
(``rideshare'' services) of the risks linked to shift work and long 
work hours and to evaluate strategies for taxi drivers to reduce these 
risks. The proposed study site will be the Flywheel Taxi Company in San 
Francisco, with approximately 500 drivers, who have agreed to share 
data collected on the study participants. The recruitment of 180 study 
participants and data collection onsite will be performed by a NIOSH 
contractor trained by the NIOSH project personnel. This research study 
involves two parts: development of a fatigue management eLearning 
training tool designed for drivers-for-hire (e.g., taxi drivers; ride 
sourcing drivers); and an evaluation of the use of this tool as an 
intervention. The training tool will educate drivers about fatigue as a 
risk factor for motor vehicle crashes, the negative health and safety 
effects of fatigue, and how to reduce fatigue by improving sleep, 
health, nutrition, and work schedules. There will be pre- and post-
module knowledge tests to evaluate the training. The training will be 
offered online, free of charge, and will be viewable on multiple 
platforms (e.g., smartphone, tablet, laptop). All participants will 
also wear a wristband actigraph used to measure sleep/wake cycles, 
which will serve as a second intervention. The actigraph data will 
provide a personalized, objective daily measure of fatigue for each 
participant. One group of participants will receive feedback (an 
external prompt) from the actigraph which may be used to assess 
individual fatigue level and trigger self-reflection on fitness to 
drive and act accordingly.
    A randomized pre-post with control group longitudinal study design 
will evaluate the training and the driver's response to feedback from 
the actigraph. Specifically, there are two intervention groups: (1) 
training plus actigraph fatigue level feedback (N=60); and (2) training 
only but no fatigue level feedback from the actigraph (N=60). The 
control group (N=60) will receive neither training nor feedback on 
fatigue level from their actigraph. Participants will complete a 
baseline and follow-up Work and Health survey, sleep and activities 
diaries, and sleep health knowledge questions during each of five 
observation periods. The Work and Health survey administered in the 
first observation period will be more comprehensive and the abbreviated 
follow up Work and Health surveys administered for the remaining 
observation periods will serve to capture only responses to questions 
that can change from one observation period to the next. Only 
participants randomly selected to take the training will complete a 
training evaluation survey used to strengthen the training's 
effectiveness. As part of their daily sleep and health diaries drivers 
will be asked to complete three-minute psychomotor vigilance tests 
(PVTs) five times throughout the day to directly measure

[[Page 47142]]

alertness using an app installed on an electronic device. At the end of 
the data collection period the training will be offered to the 
remaining study participants who will be provided an opportunity to 
complete the training and training evaluation survey.
    Study staff will use the findings from this evaluation to improve 
the training program, including content and delivery, as well as 
compare fatigue between intervention groups. Potential impacts of this 
project include improvements in work behaviors for coping with shift 
work and long work hours and an objective reduction in fatigue compared 
to the control groups. This project is poised to have considerable 
impact in the contribution of an evidence base for effective 
interventions that could be used by other taxi companies and drivers 
for ride sourcing companies to promote strategies in road safety.
    All study participants (N=180) will be fitted with a wrist 
actigraph. All study participants will complete the Work and Health 
survey, and the knowledge survey during each study observation period 
(five times each per participant). All participants will complete the 
sleep and activity diary five times a day, each day for 35 days (175 
times total) which will require approximately five minutes for each 
response which includes both survey questions and the Psychomotor 
Vigilance Test. Participants in the intervention groups (N=120) will 
complete the online training and evaluation. For purposes of burden 
estimation, the total number of annualized participants is 90, the 
annualized number of participants in the control group is 30, and the 
total annualized number of participants in the intervention groups is 
60. Information collection is the same for all participants, except for 
the Fatigue Training Evaluation Survey which will only be completed by 
participants in the intervention groups.
    CDC requests OMB approval for two years. Participation is voluntary 
and there are no costs to participants other than their time. The total 
estimated annualized burden is 1,794 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Taxi and Rideshare Drivers............  Fatigue Training                      60               1           15/60
                                         Evaluation Survey.
                                        Actigraph Training and                90               1           10/60
                                         Fitting.
                                        Sleep & Activities Diary              90             175            5/60
                                         (including Psychomotor
                                         Vigilance Test).
                                        Work & Health Survey....              90               5           45/60
                                        Knowledge Survey........              90               5           15/60
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2023-15543 Filed 7-20-23; 8:45 am]
BILLING CODE 4163-18-P