60 day FRN

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survey. States may select which, if any,
optional modules to administer. As
needed, CDC provides technical and
methodological assistance to state
BRFSS coordinators in the construction
of their state-specific surveys. Each state
administers its BRFSS questionnaire
throughout the calendar year.
CDC periodically updates the BRFSS
core survey and optional modules. The
purpose of this Revision request is to

add the following topics to the
questionnaires: COVID vaccination,
impact of the COVID pandemic,
periodontal disease, additional
questions on heart attack and stroke,
disaster/pandemic preparedness,
veterans’ health, and the use of newly
available tobacco products. In addition,
this request seeks approval for
reinstating topics which have been
included in BRFSS in the past,

dependent upon state interest and
funding.
Participation in BRFSS is voluntary,
and there is no cost to participate. The
average time burden per response will
be 22 minutes. OMB approval is
requested for three years. The total time
burden requested is for 274,632 annual
burden hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

U.S. General Population ...................

Field Test Respondents (Adults >18
Years).

Landline Screener ............................
Cell Phone Screener ........................
Field Test Screener ..........................
BRFSS Core Survey by Phone
Interview.
BRFSS Optional Modules by Phone
Interview.
BRFSS Core Survey by Online Survey.
BRFSS Optional Modules by Online
Survey.
Field Test Survey by Phone Interview.

Total ...........................................

...........................................................

Annual Survey Respondents (Adults
>18 Years).

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. 2024–17766 Filed 8–8–24; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

[60Day–24–0792; Docket No. CDC–2024–
0058]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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

ddrumheller on DSK120RN23PROD with NOTICES1

SUMMARY:

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1/60
1/60
1/60
15/60

2,883
11,567
15
120,000

440,000

1

15/60

110,000

100,000

1

10/60

16,667

80,000

1

10/60

13,333

500

1

20/60

167

........................

........................

........................

274,632

CDC must receive written
comments on or before October 8, 2024.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2024–
0058 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• 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
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) or by U.S. mail to
the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the

Frm 00045

Fmt 4703

Total burden
hours

1
1
1
1

comment on a proposed information
collection project titled the
Environmental Health Specialists
Network (EHS-Net) Program. The goal of
this food safety research program is to
collect data in retail food establishments
that will identify and address
environmental factors associated with
retail-related foodborne illness and
outbreaks.

PO 00000

Average
burden per
response
(in hours)

173,000
694,000
900
480,000

DATES:

Centers for Disease Control and
Prevention

Number of
responses per
respondent

Number of
respondents

Type of respondents

Sfmt 4703

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: omb@
cdc.gov.
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

SUPPLEMENTARY INFORMATION:

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Federal Register / Vol. 89, No. 154 / Friday, August 9, 2024 / Notices
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
Environmental Health Specialists
Network (EHS-Net) Program (OMB
Control No. 0920–0792, Exp. 1/31/
2025)—Revision—National Center for
Environmental Health (NCEH), Centers
for Disease Control and Prevention
(CDC).
Background and Brief Description
The National Center for
Environmental Health (NCEH), Centers
for Disease Control and Prevention
(CDC), is requesting a three-year
Paperwork Reduction Act (PRA)
approval for a Revision of this Generic
Clearance for data collections to support
research focused on identifying and
addressing environmental factors
associated with foodborne illness

outbreaks and other food safety issues.
These data are essential to
environmental public health regulators’
efforts to respond more effectively to
and prevent future outbreaks and food
safety-associated events.
An estimated 47.8 million foodborne
illnesses occur annually in the United
States, resulting in 127,839
hospitalizations, and 3,037 deaths
annually. These figures indicate that
foodborne illness is a significant
problem in the U.S. Reducing foodborne
illness requires identification and
understanding of the environmental
factors that cause these illnesses—CDC
needs to know how and why food
becomes contaminated with foodborne
illness pathogens. This information can
then be used to determine effective food
safety prevention methods. Ultimately,
these actions can lead to increased
regulatory program effectiveness and
decreased foodborne illness. The
purpose of this food safety research
program is to identify and understand
environmental factors associated with
foodborne illness and outbreaks. This
program is conducted by the
Environmental Health Specialists
Network (EHS-Net), a collaborative
project of CDC, FDA, USDA, and local
and state sites.
Environmental factors associated with
foodborne illness include both food
safety practices (e.g., inadequate
cleaning practices) and the factors in the
environment associated with those
practices (e.g., worker and retail food
establishment characteristics). To
understand these factors, we need to
collect data from those who prepare

food (i.e., food workers) and on the
environments in which the food is
prepared (i.e., retail food establishment
kitchens). Thus, data collection methods
for this generic package include: (1)
manager and worker interviews/
information collection instruments; and
(2) observation of kitchen environments.
Both methods allow data collection on
food safety practices and environmental
factors associated with those practices.
To date, EHS-Net has conducted six
studies under this generic clearance.
The data from these studies have been
disseminated to environmental public
health/food safety regulatory programs
and the food industry in the form of
presentations at conferences and
meetings, scientific journal
publications, and website postings. Data
from these studies have been presented
in thirteen articles in peer-reviewed
scientific journals, in multiple
presentations at national food safety
conferences, and on CDC’s website.
The current package is a Revision of
the previous PRA clearance from 2021.
This package includes the potential for
sites to offer incentives to participants
in EHS-Net data collection activities.
This will not result in an increased cost
to the federal government because the
cost of incentives is included in the
existing EHS-Net cooperative
agreement. CDC requests OMB approval
for an estimated 844 annual burden
hours. There is no change in the
estimated annualized burden hours
from the previous PRA clearance and
there is no cost to respondents other
than their time to participate.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Retail managers ...............................

Manager
Telephone
Recruiting
Script.
Manager Interview/Assessment ......
Observation .....................................
Worker Recruiting/Informed Consent Script.
Worker Interview/Assessment .........

889

1

3/60

44

400
400
2,000

1
1
1

30/60
30/60
2/60

200
200
67

2,000

1

10/60

333

..........................................................

........................

..........................

........................

844

Retail food workers ..........................

Total ..........................................

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Number of
respondents

Type of respondents

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Federal Register / Vol. 89, No. 154 / Friday, August 9, 2024 / Notices

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. 2024–17765 Filed 8–8–24; 8:45 am]
BILLING CODE 4163–18–P

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
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• 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
www.regulations.gov.

ddrumheller on DSK120RN23PROD with NOTICES1

SUMMARY:

VerDate Sep<11>2014

19:21 Aug 08, 2024

Jkt 262001

Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) 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: omb@
cdc.gov.
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.

PO 00000

Frm 00047

Fmt 4703

Sfmt 4703

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.

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