Proposed Data Collection Submitted for Public Comment and Recommendations
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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 National Concussion Surveillance System. This data collection is designed to allow CDC to calculate the prevalence and incidence of traumatic brain injuries (TBI) for both adults and children, and the circumstances related to TBIs occurring in the preceding year.
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<title>Federal Register, Volume 89 Issue 222 (Monday, November 18, 2024)</title>
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[Federal Register Volume 89, Number 222 (Monday, November 18, 2024)]
[Notices]
[Pages 90698-90699]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-26777]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-25-25AW; Docket No. CDC-2024-0094]
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 National Concussion Surveillance System. This data collection is
designed to allow CDC to calculate the prevalence and incidence of
traumatic brain injuries (TBI) for both adults and children, and the
circumstances related to TBIs occurring in the preceding year.
DATES: CDC must receive written comments on or before January 17, 2025.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0094 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, H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#2f40424d6f4c4b4c01484059"><span class="__cf_email__" data-cfemail="5a3537381a393e39743d352c">[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
National Concussion Surveillance System--New--National Center for
Injury Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
In 2014, an Institute of Medicine (IOM) report titled ``Sports-
Related Concussions in Youth: Improving the Science, Changing the
Culture,'' recommended that the U.S. Centers for Disease Control and
Prevention (CDC) establish and oversee a national surveillance system
to accurately determine the incidence of sports-related concussions
[i.e., mild traumatic brain injuries, or TBIs], including those in
youth ages five to 21. The report further recommended that the cause,
nature, and extent of the concussive injury also should be collected,
including the sport or activity, level of competition, and signs and
symptoms consistent with a concussion. The IOM recommendation was made
because there were significant gaps in understanding of TBI, including
concussion, incidence and prevalence estimates. Current non-fatal TBI
surveillance estimates typically utilize emergency department (ED) or
hospitalization-focused data sources. But these sources cannot account
for injuries that go untreated or injuries diagnosed in primary care,
urgent care, or specialty care settings, potentially missing
information on millions of TBIs sustained each year. Without an
accurate understanding of the burden, trends, and characteristics of
these injuries, it is challenging to design or focus effective
prevention programs, policies, or practices. The consequences from TBI
are staggering, with many resulting in intensive and long-term care
needs. This data collection could help fill significant knowledge gaps
and inform prevention efforts across the country.
The purpose of this data collection is to calculate the 12-month
prevalence and incidence of TBI for both adults and children, and the
circumstances related to TBIs occurring in the preceding 12 months. The
data collection instrument is largely based on the instrument used
during the pilot that utilized cognitive testing prior to deployment.
Data collected will include reports of head injuries experienced in the
preceding 12 months, and the most recent head injury reported will be
assessed for symptoms of TBI. We will also query respondents who
sustained a head injury regarding the mechanism of injury (cause) and
circumstances related to the TBI, medical care received, impact on
social and school functioning, and information related to returning to
work/school/play.
Data will be analyzed to produce nationally representative 12-month
incidence and prevalence estimates of non-fatal TBI in children (ages
5-17) and adults. Data collected are likely to be used by state and
local governments, researchers, voluntary health organizations,
physicians, health educators, workplace wellness
[[Page 90699]]
programs, healthcare systems, and professional and advocacy
organizations to guide program investments, provide up-to-date
information on symptom presentation, healthcare utilization patterns,
and patient recovery among others, and to provide information on
prevention of TBI.
Data obtained from this data collection are not available from
currently existing databases, and the data needed for analysis cannot
be added to existing data collection processes. This data collection
will occur over three years. After each data collection year, findings
will be reviewed to identify potential modifications to the methodology
and survey for following year collection. Depending on the nature and
scope of the improvements, a change request or a Revision package will
be submitted to OMB for review and approval. CDC requests OMB approval
for an estimated 5,656 annual burden hours. There is no cost to
respondents other than their time to participate.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Individuals and Households.... Initial 57,405 1 1/60 957
Invitation
Letter.
Reminder 53,312 1 1/60 889
Postcard.
Final Reminder 50,583 1 1/60 843
Letter.
Text Message 27,696 1 1/60 462
Reminder.
Screener........ 10,058 1 4/60 671
Survey, web..... 8,682 1 11/60 1592
Survey, phone... 1,318 1 11/60 242
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Total..................... ................ .............. .............. .............. 5,656
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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. 2024-26777 Filed 11-15-24; 8:45 am]
BILLING CODE 4163-18-P
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