Notice2024-27691
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
November 26, 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 National Notifiable Diseases Surveillance System. This data collection provides the official source of statistics in the United States for nationally notifiable conditions.
Full Text
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<title>Federal Register, Volume 89 Issue 228 (Tuesday, November 26, 2024)</title>
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[Federal Register Volume 89, Number 228 (Tuesday, November 26, 2024)]
[Notices]
[Pages 93296-93297]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-27691]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60 Day-25-0728; Docket No. CDC-2024-0095]
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 National Notifiable Diseases Surveillance System. This data
collection provides the official source of statistics in the United
States for nationally notifiable conditions.
DATES: CDC must receive written comments on or before January 27, 2025.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0095 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#026d6f60426166612c656d74"><span class="__cf_email__" data-cfemail="2b4446496b484f48054c445d">[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 Notifiable Diseases Surveillance System (OMB Control No.
0920-0728, Exp. 3/31/2027)--Revision--Office of Public Health Data,
Surveillance, and Technology (OPHDST), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Public Health Services Act (42 U.S.C. 241) authorizes CDC to
disseminate nationally notifiable condition information. The National
Notifiable Diseases Surveillance System (NNDSS) is based on data
collected at the State, territorial and local levels because of
legislation and regulations in those jurisdictions that require health
care providers, medical laboratories, and other entities to submit
health-related data on reportable conditions to public health
departments. These reportable conditions, which include infectious and
non-infectious diseases, vary by jurisdiction depending upon each
jurisdiction's health priorities and needs. Each year, the Council of
State and Territorial Epidemiologists (CSTE), supported by CDC,
determines which reportable conditions should be designated nationally
notifiable or under standardized surveillance, under which a set of
uniform criteria used to define a disease for public health
surveillance to enable public health officials to classify and count
cases consistently across reporting jurisdictions.
CDC requests a three-year approval for a Revision for the NNDSS
(OMB Control No. 0920-0728, Exp. 03/31/2027) to: (1) receive case
notification data for Chagas disease, yersiniosis (non-pestis), and
injuries related to firearms, new conditions under standardized
surveillance; and (2) receive new disease-specific data elements for
toxoplasmosis and congenital toxoplasmosis. Like all other conditions
NNDSS receives data for, CSTE voted to add the standardized public
health case definition of these cases and data elements. Revising the
NNDSS information collection to include these cases is necessary for
NNDSS to receive these voluntary data as standardized case information.
Data submission from reporting jurisdictions on these and all other
NNDSS conditions is voluntary.
The NNDSS currently facilitates the submission and aggregation of
case notification data voluntarily submitted to CDC from 60
jurisdictions: public health departments in every U.S. State, New York
City, Washington DC, five U.S. territories (American Samoa, the
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the
U.S. Virgin Islands), and three freely associated States (Federated
States of Micronesia, the Republic of the Marshall Islands, and the
Republic of Palau). This information is shared across jurisdictional
boundaries and both surveillance and prevention and control activities
are coordinated at regional and national levels.
Approximately 90% of case notifications are encrypted and submitted
to NNDSS electronically from already existing databases by automated
electronic messages. When automated transmission is not possible, case
notifications are faxed, emailed,
[[Page 93297]]
uploaded to a secure network or entered into a secure website. All case
notifications that are faxed or emailed are done so in the form of an
aggregate weekly or annual report, not individual cases. These
different mechanisms used to send case notifications to CDC vary by the
jurisdiction and the disease or condition. Jurisdictions remove most
personally identifiable information (PII) before data are submitted to
CDC, but some data elements (e.g., date of birth, date of diagnosis,
county of residence) could potentially be combined with other
information to identify individuals. Private information is not
disclosed unless otherwise compelled by law. All data are treated in a
secure manner consistent with the technical, administrative, and
operational controls required by the Federal Information Security
Management Act of 2002 (FISMA) and the 2010 National Institute of
Standards and Technology (NIST) Recommended Security Controls for
Federal Information Systems and Organizations. Weekly tables of
nationally notifiable diseases are available through CDC WONDER and
<a href="http://data.cdc.gov">data.cdc.gov</a>. Annual summaries of finalized nationally notifiable
disease data are published on CDC WONDER and <a href="http://data.cdc.gov">data.cdc.gov</a> and disease-
specific data are published by individual CDC programs.
The burden estimates include the number of hours that the public
health department uses to process and send case notification data from
their jurisdiction to CDC. Specifically, the burden estimates include
separate burden hours incurred for automated and non-automated
transmissions, separate weekly burden hours incurred for modernizing
surveillance systems as part of CDC's Data Modernization Initiative
(DMI) implementation, separate burden hours incurred for annual data
reconciliation and submission, and separate one-time burden hours
incurred for the addition of new diseases and data elements. The burden
estimates for the one-time burden for reporting jurisdictions are for
the addition of case notification data for the addition of case
notification data for Chagas disease, yersiniosis (non-pestis), and
injuries related to firearms, new conditions under standardized
surveillance; and the addition of new disease-specific data elements
for toxoplasmosis and congenital toxoplasmosis. The estimated annual
burden for the 257 respondents is 18,354 hours.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondent Form name respondents responses per response (in (in hours)
respondent hours)
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States........................ Weekly 50 52 20/60 867
(Automated).
States........................ Weekly (Non- 10 52 2 1,040
automated).
States........................ Weekly (DMI 50 52 4 10,400
Implementation).
States........................ Annual.......... 50 1 75 3,750
States........................ One-time 50 1 2 100
Addition of
Diseases and
Data Elements.
Territories................... Weekly 5 52 20/60 87
(Automated).
Territories................... Weekly, 5 56 20/60 93
Quarterly (Non-
automated).
Territories................... Weekly (DMI 5 52 4 1,040
Implementation).
Territories................... Annual.......... 5 1 5 25
Territories................... One-time 5 1 4 20
Addition of
Diseases and
Data Elements.
Freely Associated States...... Weekly 3 52 20/60 52
(Automated).
Freely Associated States...... Weekly, 3 56 20/60 56
Quarterly (Non-
automated).
Freely Associated States...... Annual.......... 3 1 5 15
Freely Associated States...... One-time 3 1 2 6
Addition of
Diseases and
Data Elements.
Cities........................ Weekly 2 52 20/60 35
(Automated).
Cities........................ Weekly (Non- 2 52 2 208
automated).
Cities........................ Weekly (DMI 2 52 4 416
Implementation).
Cities........................ Annual.......... 2 1 75 150
Cities........................ One-time 2 1 2 4
Addition of
Diseases and
Data Elements.
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Total..................... ................ .............. .............. .............. 18,354
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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. 2024-27691 Filed 11-25-24; 8:45 am]
BILLING CODE 4163-18-P
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