Notice2024-12236
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
June 4, 2024
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 continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Information Collection for Tuberculosis Data from Panel Physicians. The data collection is designed to collect tuberculosis (TB) data from medical exams of U.S.--bound immigrants and refugees who seek permanent residence in the U.S.
Full Text
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<title>Federal Register, Volume 89 Issue 108 (Tuesday, June 4, 2024)</title>
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[Federal Register Volume 89, Number 108 (Tuesday, June 4, 2024)]
[Notices]
[Pages 47960-47962]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-12236]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-1102; Docket No. CDC-2024-0047]
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 continuing information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled Information Collection for Tuberculosis Data from Panel
Physicians. The data collection is designed to collect tuberculosis
(TB) data from medical exams of U.S.--bound immigrants and refugees who
seek permanent residence in the U.S.
DATES: CDC must receive written comments on or before August 5, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0047 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
[[Page 47961]]
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: <a href="/cdn-cgi/l/email-protection#345b5956745750571a535b42"><span class="__cf_email__" data-cfemail="8be4e6e9cbe8efe8a5ece4fd">[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,
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
Information Collection for Tuberculosis Data from Panel Physicians
(OMB Control No. 0920-1102, Exp. 12/31/2024))--Revision--National
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention's (CDC), National
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division
of Global Migration Health (DGMH), Immigrant and Refugee Health Branch
(IRHB), requests approval for a Revision of an existing information
collection. This project pertains to collecting annual reports on
certain tuberculosis (TB) data from U.S. panel physicians.
The respondents for this data collection are panel physicians. More
than 760 panel physicians from 336 panel sites perform overseas pre-
departure medical examinations in accordance with requirements,
referred to as Technical Instructions (TI), provided by DGMH's Quality
Assessment Program (QAP). The role of QAP is to assist and guide panel
physicians in the implementation of the TI; to evaluate the quality of
the overseas medical examination for U.S.-bound immigrants and
refugees; to assess potential panel physician sites; and to provide
recommendations to the U.S. Department of State in matters of immigrant
medical screening.
To achieve DGMH's mission, the IRHB works with domestic and
international programs to improve the health of U.S.-bound immigrants
and refugees to protect the U.S. public by preventing the importation
of infectious disease. These goals are accomplished through IRHB's
oversight of medical exams required for all U.S.--bound immigrants and
refugees who seek permanent residence in the U.S. IRHB is responsible
for assisting and training the international panel physicians with the
implementation of medical exam TI. The TIs are detailed requirements
and national policies regarding the medical screening and treatment of
all U.S.-bound immigrants and refugees.
Screening for TB is a particularly important component of the
immigration medical exam and allows panel physicians to diagnose active
TB disease prior to arrival in the United States. As part of the TI
requirements, panel physicians perform chest x-rays and laboratory
tests that aid in the identification of TB infection (Class B1
applicants) and diagnosis of active TB disease (Class A, inadmissible
applicants). CDC uses these classifications to report new immigrant and
refugee arrivals with a higher risk of developing TB disease to U.S.
State and local health departments for further follow-up. Some
information that panel physicians collect as part of the medical exam
is not reported on the standard Department of State forms (DS-forms),
thereby preventing CDC from evaluating TB trends in globally mobile
populations and monitoring program effectiveness.
Currently, CDC is requesting this data be sent by panel physicians
once per year. The consequences of reducing this frequency would be the
loss of monitoring program impact and TB burdens in mobile populations
and immigrants and refugees coming to the United States on an annual
basis. A prior estimate of 7.5 hours has been reduced to three hours
based on the knowledge that most panel physicians have established
electronic tracking systems since the last OMB approval period, thereby
reducing the amount of time needed to report this data to CDC. CDC has
also reduced burden by removing four variables related to pending lab
results since the last OMB approval period. The introduction of a web-
based data collection tool using REDCap will reduce the burden by
improving the efficiency of data reporting and reducing the time to
fill out the previous excel spreadsheet and send via email. This new
web-based data collection will improve efficiencies by having built in
validation rules that will reduce potential data reporting errors. The
new web-based data collection tool will be easier for panel physicians
to submit data back to CDC by hitting submit rather than emailing a
spreadsheet back.
Based on improved IT capacity at most panel sites and an overall
reduction in variables collected since the last OMB approval period,
the updated annual burden hours is decreased. The annual burden hours
requested is 999. There is no cost to the respondents other than their
time.
[[Page 47962]]
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total
Type of respondents Form name respondents responses per response burden (in
respondent (in hours) hours)
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International Panel Physicians TB Indicators 333 1 3 999
(All sites). REDCap web form.
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Total........................ ................... .............. .............. ........... 999
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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. 2024-12236 Filed 6-3-24; 8:45 am]
BILLING CODE 4163-18-P
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