[Federal Register Volume 90, Number 112 (Thursday, June 12, 2025)]
[Notices]
[Pages 24797-24798]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-10725]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-25-24EG]


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 ``Documenting Outcomes Associated with 
Persistent Tic Disorders (including Tourette Syndrome) in Children, 
Adolescents, and Young Adults through 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 April 5, 2024 to obtain comments from the 
public and affected agencies. CDC did not receive 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

    Documenting outcomes associated with Persistent Tic Disorders 
(including Tourette Syndrome) in Children, Adolescents, and Young 
Adults through Surveillance--New--National Center on Birth Defects and 
Developmental

[[Page 24798]]

Disabilities (NCBDDD), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    There are an estimated 1.4 million people in the U.S. affected by 
persistent tic disorders (PTD) or Tourette syndrome (TS). To support 
people with these conditions, the impact of PTD/TS must be understood. 
Although some data on the impact of PTD/TS on social relationships and 
education are available, other potential outcomes associated with PTD/
TS have not been well-documented, including associated costs, 
suicidality, health care transition, and the prevalence of co-occurring 
disorders and how co-occurring disorders modify these outcomes. Limited 
data are available on how these outcomes may differ among sub-
populations (e.g., by sex, race/ethnicity, age group, and geography 
[e.g., urban/rural]).
    This data collection aims to document priority outcomes including 
costs (e.g., education level, employment, healthcare beyond those 
available in claims data), prevalence of suicidality risk, transition 
to adult healthcare, and the prevalence of co-occurring conditions and 
how they modify these outcomes among children and adolescents (4-17 
years) and young adults (18-26 years) with PTD/TS. Data will be 
collected once from a participant (i.e., individuals with PTD/TS and/or 
their caregiver), via a survey, and a clinical assessment of tic 
symptoms. We will also extract data from medical records. Most 
questions for the survey created for this surveillance project were 
selected from national surveys or previously validated measures. This 
will allow us to compare estimates from this project to external 
prevalence estimates for the same health indicators in U.S. children, 
adolescents, and young adults in the general population and to 
previously published findings. Data will be used to inform where 
resources for families and healthcare providers (e.g., professional 
trainings) are most needed to support people with PTD/TS and their 
families and to address differences in health among subgroups of the 
population.
    As a result of working with awardees to finalize measures, and 
decisions to rely on parent-report for the majority of indicators for 
this age group, CDC has updated the burden estimates for this data 
collection. CDC requests OMB approval for an estimated 500 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
                                                                    respondents    respondent       (in hours)
----------------------------------------------------------------------------------------------------------------
Parents of children 4-17 years with a    Parent...................          300               1            45/60
 persistent tic disorder.
Children 4-8 years with a persistent     Child 4-8................           60               1            20/60
 tic disorder.
Children 9-11 years with a persistent    Child 9-11...............          100               1            30/60
 tic disorder.
Adolescents (teens) 12-17 years with a   Adolescent...............          140               1            45/60
 persistent tic disorder.
Adults (18-26 years) with a persistent   Adult....................          100               1                1
 tic disorder.
----------------------------------------------------------------------------------------------------------------


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. 2025-10725 Filed 6-11-25; 8:45 am]
BILLING CODE 4163-18-P