Agency Forms Undergoing Paperwork Reduction Act Review
| Published date | 20 August 2020 |
| Citation | 85 FR 51435 |
| Record Number | 2020-18278 |
| Section | Notices |
| Court | Centers For Disease Control And Prevention,Health And Human Services Department |
Federal Register, Volume 85 Issue 162 (Thursday, August 20, 2020)
[Federal Register Volume 85, Number 162 (Thursday, August 20, 2020)]
[Notices]
[Pages 51435-51436]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-18278]
[[Page 51435]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-1204]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled ``Behavioral Risk Factor Surveillance System
(BRFSS) Asthma Call-back Survey (ACBS)'' to the Office of Management
and Budget (OMB) for review and approval. CDC previously published a
``Proposed Data Collection Submitted for Public Comment and
Recommendations'' notice on 06/02/2020 to obtain comments from the
public and affected agencies. CDC received two comments related to the
previous notice. This notice serves to allow an additional 30 days for
public and affected agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) 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;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) 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 submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570. Comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct
written comments and/or suggestions regarding the items contained in
this notice to the Attention: CDC Desk Officer, Office of Management
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202)
395-5806. Provide written comments within 30 days of notice
publication.
Proposed Project
Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back
Survey (ACBS) (OMB Control No. 0920-1204, Exp. 11/30/2020)--Revision--
National Center for Environmental Health (NCEH), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The CDC's National Center for Environmental Health (NCEH) is
requesting a three-year Paperwork Reduction Act (PRA) clearance to
revise and continue to collect information under the ``Behavioral Risk
Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS)''
(OMB Control No. 0920-1204, Expiration Date 11/30/2020).
The ACBS is funded by the NCEH National Asthma Control Program
(NACP) in the Asthma and Community Health Branch (ACHB). The ACBS is a
follow-up survey on asthma and is administered on behalf of NCEH by the
CDC's National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP) BRFSS Program. The BRFSS (OMB Control No. 0920-
1061, Expiration date 3/31/2021) is a nationwide system of customized,
cross-sectional telephone health surveys. The BRFSS information
collection is conducted in a continuous, three-part telephone interview
process: Screening, participation in a common BRFSS core survey, and
participation in optional question modules that states use to customize
survey content. BRFSS coordinators in the health departments in U.S.
states, territories, and the District of Columbia (collectively
referred to as ``states'' and ``jurisdictions'') are responsible for
both the BRFSS and the ACBS administration.
The purpose of ACBS is to gather state-level asthma data and to
make them available to track the burden of the disease, to monitor
adherence to asthma guidelines, and to direct and evaluate
interventions undertaken by asthma control programs located in state
health departments. Beyond asthma prevalence estimates, for most
states, the ACBS provides the only sources of adult and child asthma
data on the state and local level.
Data collection for ACBS involves screening, obtaining permission,
consenting, and telephone interviewing on a subset of the BRFSS
respondents from participating states. The ACBS eligible respondents
are BRFSS adults, 18 years and older, who report ever being diagnosed
with asthma. In addition, some states include children, below 18 years
of age, who are randomly selected subjects in the BRFSS household.
Parents or guardians serve as ACBS proxy respondents for their children
ever diagnosed with asthma. If both the BRFSS adult respondent and the
selected child in the household have asthma, then only one or the other
is eligible for the ACBS.
State BRFSS Coordinators submit de-identified data files to CDC on
a monthly or quarterly basis for cleaning and weighting. The CDC BRFSS
ACBS operation team returns clean, weighted data files to the state of
origin for its use. The ACBS adds considerable state-level depth to the
existing body of asthma data. It addresses critical questions
surrounding the health and experiences of persons with asthma. Health
data include symptoms, environmental factors, and medication use among
persons with asthma. Data on their experiences include activity
limitation, health system use, and self-management education. These
asthma data are needed to direct and evaluate interventions undertaken
by asthma control programs located in state health departments. Federal
agencies and other entities also rely on this critical information for
planning and evaluating efforts, and to reduce the burden from this
disease. The CDC makes annual ACBS datasets available for public use
and provides guidance on statistically appropriate uses of the data.
The NACP provides its 40 participating states with technical and
methodological assistance. Based on feedback from ACBS working groups,
the NACP proposes to revise the ACBS protocol to improve response. The
protocol revisions include three significant changes. First, the ACBS
interview will be done within two days of the BRFSS interview based on
a NACP project that evaluated the impact of the original two-week lag
on reduced ACBS response rates. Secondly, in households where both the
randomly selected child and adult responding to the BRFSS have a
diagnosis of asthma, the NACP requests to increase the child proportion
from 50% up to 75%--100% to maximize the child sample size. Thirdly,
the NACP requests to drop the option of identifying the Most
[[Page 51436]]
Knowledge Person for child respondents in the ACBS, and to move it to
the BRFSS state-added questions section.
Also, in response to the 2017 Terms of Clearance, the NACP
undertook efforts to streamline the 2021 ACBS questionnaire, reduce
unnecessary burden, and ensure that the question wording is
synchronized with more recent studies. The questionnaires were re-
evaluated by ACBS questionnaire working groups and the ACBS recipients.
The time burden estimates are based on the 2016 ACBS data
collection, which is the most recent data released. The burden table
reflects the landline and cell phone data collection methods used in
2016 and later years. Additionally, the time burden accounts for
reporting burden incurred by the states for the monthly or quarterly
adult and child ACBS data submissions to CDC. The total estimated
annualized time burden for all respondents is 6,615 hours.
Participation in the ACBS is voluntary and there are no costs to
respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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BRFSS Adults.......................... ACBS Landline Screener-- 17,800 1 1/60
Adult.
ACBS Cell Phone 16,733 1 1/60
Screener--Adult.
BRFSS Parents or Guardians of Children ACBS Landline Screener-- 2,576 1 1/60
Child.
ACBS Cell Phone 3,824 1 1/60
Screener--Child.
ACBS Adults........................... ACBS Adult Consent and 23,166 1 10/60
Questionnaire.
ACBS Parents or Guardians of Children. ACBS Child Consent and 3,787 1 10/60
Questionnaire.
State BRFSS Coordinators.............. ACBS Adult Data 40 12 155/60
Submission Layout.
ACBS Child Data 40 12 25/60
Submission Layout.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2020-18278 Filed 8-19-20; 8:45 am]
BILLING CODE 4163-18-P
