[Federal Register Volume 89, Number 108 (Tuesday, June 4, 2024)]
[Notices]
[Pages 47958-47959]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-12237]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-24-1108; Docket No. CDC-2024-0041]


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.

-----------------------------------------------------------------------

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). This data 
collection is designed 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.

DATES: CDC must receive written comments on or before August 5, 2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0041 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.

[[Page 47959]]

Proposed Project

    Paul Coverdell National Acute Stroke Program (PCNASP) (OMB Control 
No. 0920-1108, Exp. 9/30/2024)--Extension--National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), Division for 
Heart Disease and Stroke Prevention (DHDSP), requests an Extension of a 
previously approved data collection for a period of three years. 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 suffer a first-ever or 
recurrent stroke each year with more than 145,000 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. There is a critical need to improve 
access to and quality of care for those at highest risk for events and 
stroke patients among the continuum of care, particularly among high 
burden populations. Coverdell-funded State programs are in the 
forefront of developing and implementing system-change efforts to 
improve stroke systems of care 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 Centers for Disease Control and 
Prevention (CDC) to establish the Paul Coverdell National Acute Stroke 
Program (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 proposes to continue collecting 
information from 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 insights to be 
gained from this continuing 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.
    CDC requests OMB approval for an estimated 501 annual burden hours. 
There is no cost to respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                    Number of    Average  burden
      Type of respondents            Form name       Number of    responses per   per  response    Total burden
                                                    respondents    respondent       (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
PCNASP Awardee.................  Hospital                    13               1                8             104
                                  inventory.
                                 In-hospital care            13               4            30/60              26
                                  data.
                                 Pre-hospital care            3               4            30/60               6
                                  data.                      10               4                1              40
PCNASP Hospital Partners.......  Hospital                   650               1            30/60             325
                                  Inventory.
                                --------------------------------------------------------------------------------
    Total......................  .................  ...........  ..............  ...............             501
----------------------------------------------------------------------------------------------------------------


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. 2024-12237 Filed 6-3-24; 8:45 am]
BILLING CODE 4163-18-P