Notice2024-17764
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
August 9, 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 proposed information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Adverse Health Outcomes Associated with Medical Tourism Surveillance System. This information collection project will help CDC detect outbreaks and trends in cases to identify prevention measures and improve awareness of risks associated with medical tourism.
Full Text
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<title>Federal Register, Volume 89 Issue 154 (Friday, August 9, 2024)</title>
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[Federal Register Volume 89, Number 154 (Friday, August 9, 2024)]
[Notices]
[Pages 65358-65359]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-17764]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-24HD; Docket No. CDC-2024-0054]
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 Adverse Health Outcomes Associated with Medical Tourism
Surveillance System. This information collection project will help CDC
detect outbreaks and trends in cases to identify prevention measures
and improve awareness of risks associated with medical tourism.
DATES: CDC must receive written comments on or before October 8, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0054 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; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#cea1a3ac8eadaaade0a9a1b8"><span class="__cf_email__" data-cfemail="721d1f10321116115c151d04">[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
Adverse Health Outcomes Associated with Medical Tourism
Surveillance System--New--National Center for Emerging Zoonotic and
Infectious Diseases (NCEZID), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Millions of Americans travel abroad each year to get medical care.
This practice of medical tourism is increasing, with even some U.S.-
based health insurance companies sending patients abroad for medical
care. Medical tourism has been associated with a variety of adverse
health outcomes including serious infection, importation of antibiotic-
resistant pathogens to the United States, and death. Outbreaks among
medical tourists can be difficult to identify for many reasons.
Complications from treatment(s) and procedure(s) obtained abroad are
underreported by U.S. healthcare facilities. Jurisdictions throughout
the United States have varying policies on reporting medical tourism-
related adverse health events to CDC that can lead to underreporting
from some jurisdictions. Infections acquired from health care abroad
may not be locally or nationally reportable. Currently, there is no
national surveillance system or mechanism for states to link cases
between jurisdictions for medical tourism-related adverse health
outcomes. This makes it difficult to identify patients with exposures
linked to the same clinic or provider abroad since they will be
returning to different parts of the United States.
Collaboration with state and local health departments is essential
to detect outbreaks, and as a federal entity, CDC can fulfill this
role. The information collected through this surveillance system will
help CDC detect outbreaks and trends in cases to identify prevention
measures and improve awareness of risks associated with medical
tourism. State and local health departments will conduct surveys and
send them electronically to CDC. Data collected will be stored in an
electronic database and will be extracted for further analysis.
CDC requests OMB approval for an estimated 438 annual burden hours.
There are no costs to respondents other than their time.
[[Page 65359]]
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) hours
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State/Local Health department Form 1 Medical 50 15 5/60 63
staff. Tourism Case
Intake Form
(Part B-Medical
Chart
Abstraction).
Ill persons who have Form 1 Medical 750 1 10/60 125
experienced an adverse Tourism Case
health outcome related to Intake Form
medical tourism. (Part A-
Interviews).
Ill persons who have Form 2 Medical 500 1 30/60 250
experienced an adverse Tourism
health outcome related to Enhanced
medical tourism. Surveillance
Form.
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Total.................... ................ .............. ............... .............. 438
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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. 2024-17764 Filed 8-8-24; 8:45 am]
BILLING CODE 4163-18-P
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