Proposed Data Collection Submitted for Public Comment and Recommendations

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Published

March 10, 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 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 proposed information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Reducing Fatigue Among Taxi Drivers. The goal of this project is to evaluate two interventions, a training and a wrist-device that provide personalized daily fatigue scores, designed to enable taxi drivers to reduce their fatigue levels. This research study involves two parts: development of a fatigue management eLearning training tool designed for drivers-for-hire (e.g., taxi drivers; ride sourcing drivers); and an evaluation of the effectiveness of this training alone and paired with the wrist-device that provides personalized daily fatigue scores.

Full Text

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<title>Federal Register, Volume 88 Issue 47 (Friday, March 10, 2023)</title>
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[Federal Register Volume 88, Number 47 (Friday, March 10, 2023)]
[Notices]
[Pages 15026-15028]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-04970]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-23-23CV; Docket No. CDC-2023-0014]

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 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 proposed information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled Reducing Fatigue Among Taxi Drivers. The goal of this project is
to evaluate two interventions, a training and a wrist-device that
provide personalized daily fatigue scores, designed to enable taxi
drivers to reduce their fatigue levels. This research study involves
two parts: development of a fatigue management eLearning training tool
designed for drivers-for-hire (e.g., taxi drivers; ride sourcing
drivers); and an evaluation of the effectiveness of this training alone
and paired with the wrist-device that provides personalized daily
fatigue scores.

DATES: CDC must receive written comments on or before May 9, 2023.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0014 by either 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; phone: 404-639-7570; Email:
<a href="/cdn-cgi/l/email-protection#600f0d02200304034e070f16"><span class="__cf_email__" data-cfemail="9bf4f6f9dbf8fff8b5fcf4ed">[email&#160;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,
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

Reducing Fatigue Among Taxi Drivers--New--National Institute for
Occupational Safety and Health (NIOSH), Centers for Disease Control and
Prevention (CDC).

[[Page 15027]]

Background and Brief Description

Taxi drivers routinely work long hours and late night or early
morning shifts. Shift work and long work hours are linked to many
health and safety risks due to disturbances to sleep and circadian
rhythms. Fatigue is a significant contributor to transportation-related
injuries, most notably among shift workers. Such work schedules and
inadequate sleep likely contribute to health issues and injuries among
taxi drivers who experience a roadway fatality rate of 3.5 times higher
than all civilian workers and had the highest rate of nonfatal work-
related motor vehicle injuries treated in emergency departments. The
urban and interurban transportation industry ranks the third highest in
costs per employee for motor vehicle crashes. Tired drivers endanger
others on the road (e.g., other drivers, passengers, bicyclists,
pedestrians) in addition to themselves and their passengers. An
important approach to reducing fatigue-related risks is to inform
employers and taxi drivers about the risks and strategies to reduce
their risks.
The purpose of this project is to develop and evaluate a training
program to inform taxi drivers and other drivers for hire who transport
passengers of the risks linked to shift work and long work hours and
evaluate strategies for taxi drivers to reduce these risks. Due to the
pandemic, the study will be administered virtually. We are focused on
taxi/rideshare drivers licensed in San Francisco, with approximately
45,000 drivers. The recruitment of 180 study participants and data
collection procedures will be performed by NIOSH project personnel with
support from a NIOSH contractor trained by the NIOSH project personnel.
This research study involves two parts: development of a fatigue
management eLearning training tool designed for drivers-for-hire (e.g.,
taxi drivers; ride sourcing drivers); and an evaluation of the use of
this tool as an intervention. The training tool will educate drivers
about fatigue as a risk factor for motor vehicle crashes, the negative
health and safety effects of fatigue, and how to reduce fatigue by
improving sleep, health, nutrition and work schedules. There will be
pre- and post-module knowledge tests to evaluate the training. The
training will be offered online, free of charge, and will be viewable
on multiple platforms (e.g., smartphone, tablet, laptop). All
participants will also wear a wristband actigraph used to measure
sleep/wake cycles, which will serve as a second intervention. The
actigraph data will provide a personalized daily measure of fatigue
each participant can use as an external prompt to assess individual
fatigue levels and trigger self-reflection on fitness to drive and act
accordingly. A randomized pre-post with control group longitudinal
study design will evaluate the training and the driver's response to
feedback from the actigraph. Specifically, there are two intervention
groups: (1) training plus actigraph fatigue level feedback and (2)
training only with wearing actigraph but no fatigue level feedback. The
control group will receive neither training nor feedback on fatigue
levels from their actigraph. Participants will complete a baseline and
follow-up Work and Health survey, sleep and activities diaries, and
sleep health knowledge questions during each of five observation
periods. The Work and Health survey administered in the first
observation period will be more comprehensive and the abbreviated
follow-up Work and Health surveys administered for the remaining
observation periods will serve to capture only responses to questions
that can change from one observation period to the next. Only
participants randomly selected to take the training will complete a
training evaluation survey used to strengthen the training's
effectiveness. Data will also be collected from company installed in-
vehicle monitoring systems on safety critical events (e.g., hard
braking, speeding) already collected on all drivers as a direct
measurement of fatigue-related driving performance events used to
validate self-report data. As part of their daily sleep and health
diaries drivers will be asked to complete three-minute psychomotor
vigilance tests (PVTs) five times throughout the day to directly
measure alertness using an app installed on an electronic device. At
the end of the data collection period the training will be offered to
the remaining study participants who will be provided an opportunity,
but no remuneration, to complete the training and training survey.
Study staff will use the findings from this evaluation to improve
the training program, including content and delivery, as well as
compare fatigue between intervention groups. Potential impacts of this
project include improvements in work behaviors for coping with shift
work and long work hours and an objective reduction in fatigue compared
to the control groups. This project is poised to have considerable
impact in the contribution of an evidence base for effective
interventions that could be used by other taxi companies and drivers
for ride sourcing companies to promote strategies in road safety.
The burden table lists 120 of the 180 taxi drivers in the study
will complete the online training and evaluation (approximately three
hours). All drivers (180) will complete the Work and Health survey, and
the knowledge survey each week of the study (five times each per
participant). Each participant will complete the sleep and activity
diary five times a day, each day for 35 days (175 times total) which
will require approximately two minutes for each response. There will
also be three meetings for recruitment and enrollment (once), fitting
the actigraph (weekly), and a final meeting (weekly). The total
estimated annualized burden hours is 2,700. There are no costs to
participants 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 Total burden
respondents respondent (in hours) (in hours)
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Taxi Drivers................................... Online Training & Evaluation........... 120 1 180/60 360
Sleep & Activities Diary............... 180 175 2/60 1,050
Work & Health Survey................... 180 5 45/60 675
Knowledge survey....................... 180 5 15/60 225
Recruitment & Informed Consent......... 180 1 30/60 90
Initial Meeting (Fit Actigraph)........ 180 5 10/60 150
10-minute meeting (turn in devices, 180 5 10/60 150
turn in diary, receive remuneration).
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[[Page 15028]]

Total...................................... ....................................... .............. .............. .............. 2,700
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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. 2023-04970 Filed 3-9-23; 8:45 am]
BILLING CODE 4163-18-P

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