[Federal Register Volume 89, Number 122 (Tuesday, June 25, 2024)]
[Notices]
[Pages 53105-53106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-13903]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-24-24AZ]


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 ``OD2A: LOCAL Linkage to and Retention in 
Care Surveillance'' 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 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

    OD2A: LOCAL Linkage to and Retention in Care Surveillance--New--
National Center for Injury Prevention and Control (NCIPC), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    In the United States, opioid overdose deaths have increased 
significantly over the years, and drug overdose deaths in the United 
States increased by 14% from 2020 to 2021. Of the 106,699 drug overdose 
deaths in 2021, over 75% involved an opioid. Deaths involving 
psychostimulants, such as methamphetamine, also increased from 2020 to 
2021. Scaling up prevention and surveillance activities to address 
substance misuse and nonfatal and fatal drug overdoses are priorities 
for the Centers for Disease Control and Prevention (CDC). Evidence 
shows that reducing drug overdoses requires increased capacity for 
linking people to treatment and harm reduction services and improving 
retention across care settings. Linking individuals with a substance 
use disorder to treatment and harm reduction is a key strategy for 
saving lives and it is crucial that jurisdictions implement 
surveillance strategies that can inform and improve their linkage to 
and retention in care activities.
    In September 2023, CDC launched a new surveillance program as part 
of the Overdose Data to Action: Limiting Overdose through Collaborative 
Actions in Localities (OD2A: LOCAL) Notice of Funding Opportunity 
(NOFO): Linkage to and Retention in Care Surveillance. Linkage to Care 
is a five-year NOFO which connects individuals at risk of overdose to 
evidence-based treatment, services, and supports, thereby reducing 
future overdoses and other harms associated with substance use. 
Implementation of surveillance systems to collect data on standardized 
Linkage to and Retention in Care indicators is needed so that health 
departments can measure the impact of their linkage to care programs, 
inform overdose prevention activities, and appropriately allocate 
public health resources where they are most needed.
    Funded local health departments will be tasked with the collection 
and sharing of standardized Linkage to and Retention in Care indicators 
with CDC, as part of this effort. Local health departments are uniquely 
suited to implement surveillance systems for standardized Linkage to 
and Retention in Care (LTC) indicators due to their proximity to the 
communities they serve and access to data from local linkage to care 
programs and activities. Following an extensive environmental scan and

[[Page 53106]]

with input from local and state overdose prevention and response 
programs, the CDC defined a substance use disorder cascade of care 
(CoC) and a set of minimum standard measures to assess local LTC 
efforts. The overarching goal of this initiative hinges on generating 
actionable data that jurisdictions can leverage to enhance and fine-
tune their linkage to and retention in care programs. Linkage to and 
Retention in Care surveillance will also foster a robust foundation for 
deriving insights into disparities, unmet needs, and optimal practices 
across the CoC.
    This approach will help standardize data processes to drive data-
to-action decision making and improve intra-jurisdictional comparisons 
over time to drive better health outcomes. Ultimately, a standardized 
approach ensures that a greater number of individuals access the care 
they require and drives meaningful change in how individuals are 
connected to care. CDC requests OMB approval for an estimated 240 
annual burden hours for this collection. There are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                                  Number of      Average burden
         Type of respondents                 Form name            Number of     responses per   per response (in
                                                                 respondents     respondent          hours)
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Participating health departments      REDCap Data Import                   12               2                  8
 reporting aggregate data to CDC       Template.
 using REDCap.
                                      REDCap Data Entry Form.              12               2                  2
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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. 2024-13903 Filed 6-24-24; 8:45 am]
BILLING CODE 4163-18-P