[Federal Register: October 15, 2004 (Volume 69, Number 199)]
[Notices]               
[Page 61252-61253]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15oc04-96]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-05AB]

 
Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-498-1210 or 
send comments to Seleda Perryman, CDC Assistant Reports Clearance 
Officer, 1600 Clifton Road, MS-E11, Atlanta, GA 30333 or send an e-mail 
to omb@cdc.gov.

[[Page 61253]]

    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Public Health Injury Surveillance and Prevention Program--New--
National Center for Injury Prevention and Control (NCIPC), Centers for 
Disease Control and Prevention (CDC).
    Injury is the leading cause of death and disability among children 
and young adults. In 2000, more than 148,000 people died from injuries. 
Among them 43,354 died from motor-vehicle crashes; 29,350 died from 
suicide; 16,765 died from homicide; 13,322 died from unintentional 
falls; 12,757 from unintentional poisonings; 3,482 died from 
unintentional drowning; 3,377 died from fires. These external causes 
can often result in Traumatic Brain Injury (TBI), if not in death. Each 
year, an estimated 1.5 million Americans sustain a TBI. As a 
consequence of these TBI injuries 230,000 people are hospitalized and 
survive; 50,000 people die; and 80,000 to 90,000 people experience the 
onset of long-term disability. An estimated 5.3 million Americans live 
with a permanent TBI-related disability. However, this estimate does 
not include people with ``mild'' TBI who are seen in emergency 
departments or outpatient encounters, nor those who do not receive 
medical care. The annual economic burden of TBI in the United States 
has been estimated at $56.3 billion in 1995 dollars; however, human 
costs of the long-term impairments and disabilities associated with TBI 
are incalculable. Because many TBI related disabilities are not 
conspicuous deficits, they are referred to as the invisible or silent 
epidemic. These disabilities, arising from cognitive, emotional, 
sensory, and motor impairments, often permanently alter a person's 
ability to maximize daily life experiences and have profound effects on 
social and family relationships. To implement more effective programs 
to prevent these injuries, we need reliable data on their causes and 
risk factors. State surveillance data can be used to (1) identify 
trends in TBI incidence, (2) enable the development of cause-specific 
prevention strategies focused on populations at greatest risk, (3) and 
monitor the effectiveness of prevention programs.
    This project will develop and maintain injury surveillance 
programs, including those with a focus on TBI and emergency department 
surveillance for mild TBI. The goal of this program is to develop 
quality data that will (a) be useful to State injury prevention and 
control programs, (b) enable states to develop injury indicators, (c) 
enable estimates of TBI incidence and public health consequences and 
(d) facilitate the use of TBI surveillance data to link individuals 
with information about TBI services.
    Program recipients will collect information from pre-existing state 
data sets to calculate injury indicators in their state. In addition, a 
small group of states will review and abstract medical records to 
obtain data for variables that address severity of injury, 
circumstances and etiology of injury, and early outcome of injury in a 
large representative sample of reported cases of TBI-related 
hospitalization and mild TBI-related emergency department visits. The 
abstracted data will be stripped of all identifying information before 
submitting to CDC. CDC will fund up to 12 state health departments. The 
state health departments will use standardized data elements to 
abstract data. There will be no cost to respondents.

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                                                                  Number of     Average burden/
                 Respondents                     Number of        responses/      response (in     Total burden
                                                respondents       respondent         hours)           hours
----------------------------------------------------------------------------------------------------------------
State Health Departments....................              12             1000                1           12,000
                                             ------------------
    Total...................................  ...............  ...............  ...............          12,000
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    Dated: October 8, 2004.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-23142 Filed 10-14-04; 8:45 am]

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