[Federal Register Volume 88, Number 193 (Friday, October 6, 2023)]
[Notices]
[Pages 69637-69638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22273]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-24-1307]


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 ``Shigella Hypothesis Generating 
Questionnaire (SHGQ)'' 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 
July 14, 2023 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

    Shigella Hypothesis Generating Questionnaire (SHGQ) (OMB Control 
No. 0920-1307, Exp. 11/30/2023)--Extension--National Center for 
Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    Shigella are a family of bacteria that cause the diarrheal disease 
shigellosis. It is estimated that Shigella causes about 450,000 cases 
of diarrhea in the United States annually, with increasing evidence of 
antimicrobial resistance. From 2009 through 2021, there have been 1,252 
outbreaks of shigellosis in the United States, with most of these 
outbreaks attributed to person to person spread. Outbreaks of 
shigellosis have been reported in a range of settings such as 
community-wide, daycares, schools, restaurants, and retirement homes. 
Outbreaks of shigellosis have impacted a range of populations such as 
children, men who have sex with men, people experiencing homelessness, 
tight knit religious communities, international travelers, and 
refugees/displaced persons. Finally, outbreaks of shigellosis have been 
attributed to a range of transmission modes including person-to-person/
no common source, sexual person-to person contact, contaminated food, 
and contaminated water.
    As part of Shigella outbreak investigations, it is common for state 
and local health departments to conduct comprehensive interviews with 
cases and contacts to identify how individuals became sick with 
shigellosis, to identify individuals who could have come into contact 
with an individual sick with shigellosis, and to identify strategies to 
control the cluster or outbreak. As person-to-person contact is the 
most common mode of transmission for shigellosis, and shigellosis is 
highly contagious, it can be challenging to identify how individuals 
could have become ill. As a result, comprehensive hypothesis generating 
questionnaires focused on a range of settings, activities, and 
potential modes of transmission are needed to guide prevention and 
control activities.

[[Page 69638]]

    The Shigella Hypothesis Generating Questionnaire (SHGQ) will be 
administered by state and local public health officials via telephone 
interviews or self-administered web-based surveys with cases of 
shigellosis or their proxy who are part of a shigellosis cluster or 
outbreak. The SHGQ will collect information on demographics 
characteristics, household information and family member event and 
activity attendance, clinical signs and symptoms, medical care and 
treatment information, travel history, contact with international 
travelers or other ill individuals, event and activity attendance, 
limited food and water exposure, work, visit, and volunteer locations, 
childcare and school attendance, and recent sexual partner(s) and 
activity. This interview/survey activity is consistent with the state's 
existing authority to investigate reports of notifiable diseases for 
routine surveillance purposes; therefore, formal consent to participate 
in the activity is not required. However, cases may choose not to 
participate and may choose not to answer any question they do not wish 
to answer. It will take health department personnel approximately 45 
minutes to administer the questionnaire to an estimated 1,500 patient 
respondents. This results in an estimated annual burden to the public 
of 1,125 hours.

                                        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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Shigellosis case patients identified  Shigella Hypothesis                1500                1            45/60
 as part of outbreak or cluster        Generating
 investigations.                       Questionnaire.
----------------------------------------------------------------------------------------------------------------


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. 2023-22273 Filed 10-5-23; 8:45 am]
BILLING CODE 4163-18-P