Notice2023-04491
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 6, 2023
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies to take this opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed data collection titled Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS). The ACBS is an in-depth asthma survey conducted on a subset of BRFSS respondents with an asthma diagnosis with the goal to strengthen the existing body of asthma data and to address critical questions surrounding the health and experiences of persons with asthma.
Full Text
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<title>Federal Register, Volume 88 Issue 43 (Monday, March 6, 2023)</title>
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[Federal Register Volume 88, Number 43 (Monday, March 6, 2023)]
[Notices]
[Pages 13825-13827]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-04491]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-23-1204; Docket No. CDC-2023-0013]
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.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies to take this opportunity to comment on a continuing
information collection, as required by the Paperwork Reduction Act of
1995. This notice invites comment on a proposed data collection titled
Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back
Survey (ACBS). The ACBS is an in-depth asthma survey conducted on a
subset of BRFSS respondents with an asthma diagnosis with the goal to
strengthen the existing body of asthma data and to address critical
questions surrounding the health and experiences of persons with
asthma.
DATES: Written comments must be received on or before May 5, 2023.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0013 by any of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> 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 <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) 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: 404-639-7118;
Email: <a href="/cdn-cgi/l/email-protection#acc3c1ceeccfc8cf82cbc3da"><span class="__cf_email__" data-cfemail="07686a654764636429606871">[email protected]</span></a>.
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,
[[Page 13826]]
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.
Proposed Project
Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back
Survey (ACBS) (OMB Control No. 0920-1204, Exp. 11/30/2023)--Revision--
National Center for Environmental Health (NCEH), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The CDC's National Center for Environmental Health (NCEH) is
requesting a three-year Paperwork Reduction Act (PRA) clearance to
revise and continue to collect information under the Behavioral Risk
Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS) (OMB
Control No. 0920-1204, Exp. 11/30/2023). The ACBS is funded by the NCEH
National Asthma Control Program (NACP) in the Asthma and Community
Health Branch (ACHB).
The ACBS is a follow-up survey on asthma and is administered on
behalf of NCEH by the CDC's National Center for Chronic Disease
Prevention and Health Promotion (NCCDPHP) BRFSS Program. The BRFSS (OMB
Control No. 0920-1061, Exp. 12/31/2024) is a nationwide system of
customized, cross-sectional telephone health surveys. The BRFSS
information collection is conducted in a continuous, three-part
telephone interview process: (1) screening; (2) participation in a
common BRFSS core survey, and (3) participation in optional question
modules that states use to customize survey content. BRFSS coordinators
in the health departments in U.S. states, territories, and the District
of Columbia (collectively referred to as ``states'' and
``jurisdictions'') are responsible for both the BRFSS and the ACBS
administration. The ACBS is conducted within two days after the BRFSS
survey.
The purpose of ACBS is to gather state-level asthma data and to
make them available to track the burden of the disease, to monitor
adherence to asthma guidelines, and to direct and evaluate
interventions undertaken by asthma control programs located in state
health departments. Beyond asthma prevalence estimates, for most
states, the ACBS provides the only source of adult and child asthma
data on the state and local level.
Data collection for ACBS involves screening, obtaining permission,
consenting, and telephone interviewing on a subset of the BRFSS
respondents from participating states. The ACBS eligible respondents
are BRFSS adults, 18 years and older, who report ever being diagnosed
with asthma. In addition, some states include children, below 18 years
of age, who are randomly selected subjects in the BRFSS household.
Parents or guardians serve as ACBS proxy respondents for their children
ever diagnosed with asthma. If both the BRFSS adult respondent and the
selected child in the household have asthma, then only one or the other
is eligible for the ACBS.
State BRFSS Coordinators submit de-identified data files to CDC on
a monthly or quarterly basis for cleaning and weighting. The CDC BRFSS
ACBS operation team returns clean, weighted data files to the state of
origin for its use. The ACBS adds considerable state-level depth to the
existing body of asthma data. It addresses critical questions
surrounding the health and experiences of persons with asthma. Health
data include symptoms, environmental factors, and medication use among
persons with asthma. Data on their experiences include activity
limitation, health system use, and self-management education. These
asthma data are needed to direct and evaluate interventions undertaken
by asthma control programs located in state health departments. Federal
agencies and other entities also rely on this critical information for
planning and evaluating efforts and to reduce the burden from this
disease. The CDC makes annual ACBS datasets available for public use
and provides guidance on statistically appropriate uses of the data.
Over the past three years, in response to the 2020 Terms of
Clearance, the annual joint response rates from BRFSS and ACBS were
reported with ACBS annual datasets. To communicate the caveats of
state-to-state comparisons, the ACBS nonresponse bias and impact on
prevalence estimation were analyzed and reported as appendix tables in
the annual data quality report released with the public use dataset for
adult and child participants (<a href="https://www.cdc.gov/brfss/acbs/2020/pdf/sdq_report_acbs_20-508.pdf">https://www.cdc.gov/brfss/acbs/2020/pdf/sdq_report_acbs_20-508.pdf</a>). The first table reports unweighted and
weighted demographic distribution percentages for each participating
state based on BRFSS-eligible asthma respondents, non-responding to the
ACBS, and ACBS final completes. The second table reports estimated
current asthma percentage among individuals who have ever been
diagnosed with asthma. These two tables will help communicate the
potential impact of nonresponse bias on the ACBS published dataset.
Furthermore, we revised the tables of prevalence estimates for
asthma risk factors based on ACBS, reduced the number of risk factors
prevalence tables from 20 to 13, and deleted the tables on active
asthma related risk factors, which did not provide enough information
to make state-to-state comparisons. A hyperlink to the nonresponse
report have been included in the footnote for annual ACBS risk factors
prevalence tables. The updated tables are available at: (<a href="https://www.cdc.gov/brfss/acbs/2020_tables_LLCP.html">https://www.cdc.gov/brfss/acbs/2020_tables_LLCP.html</a>).
The NACP undertook efforts to streamline the ACBS, to reduce
unnecessary burden, and to ensure that the question wording is
synchronized with more recent studies. The questionnaires were re-
evaluated by ACBS questionnaire working groups and the ACBS recipients.
Question changes and additions to the 2024 ACBS questionnaire are as
follows. A proposed total of six questions will be deleted from the
adult's questionnaire and 17 questions will be deleted from the child's
questionnaire. With the addition of nine new questions to the adult's
questionnaire and 10 questions to the child's questionnaire, the
estimated time burden for the interview will remain unchanged from that
of the 2021 questionnaire (10 minutes per response).
The total BRFSS sample size was reduced from 476,217 in 2016 to
393,474 in 2020. As the result of decreasing BRFSS sample size, the
number of eligible ACBS's BRFSS respondents changed from 46,100 to
41,444 from 2016 to 2020. Although no revisions to the number of
responses per respondent nor to the average time burden per response
are requested, the NACP proposes the following changes to the burden
estimation from 2021 (based on 2016 ACBS response data) to 2024 (based
on 2020 response data). The total number of respondents is 58,292,
which is a decrease of 10,554 from the previously approved 68,846. The
total estimated annualized time burden is 6,073 hours, which is a
decrease of 542 hours from the previously approved 6,615 hours.
Participation in the ACBS is voluntary and there are no costs to
respondents other than their time.
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Estimated Annualized Burden to Respondents
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs.) hours
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BRFSS Adults.................. ACBS Landline 8,170 1 1/60 136
Screener--Adult.
ACBS Cell Phone 20,780 1 1/60 346
Screener--Adult.
BRFSS Parents or Guardians of ACBS Landline 834 1 2/60 28
Children. Screener--Child.
ACBS Cell Phone 4,109 1 2/60 137
Screener--Child.
ACBS Adults................... ACBS Adult 20,155 1 10/60 3,359
Consent and
Survey.
ACBS Parents or Guardians of ACBS Child 3,764 1 10/60 627
Children. Consent and
Survey.
State BRFSS Coordinators...... ACBS Data 40 12 3 1,440
Submission
Layout.
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Total..................... ................ .............. .............. .............. 6,073
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2023-04491 Filed 3-3-23; 8:45 am]
BILLING CODE 4163-18-P
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