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73026 Federal Register / Vol. 72, No.

246 / Wednesday, December 26, 2007 / Notices

healthcare events, related infections in adverse events due to infections provide national estimates of targeted
the community, and antimicrobial associated with indwelling medical occupational illnesses and injuries
resistance; communicates the results devices, contaminated products, among healthcare workers and the
and findings of response activities with dialysis, and water. extent to which preventive safeguards
federal and state agencies in order to Surveillance Branch (CVKDD). (1) are in use across the spectrum of
alert healthcare providers and educate Monitors and evaluates on the national healthcare delivery sites.
the public to prevent similar adverse level the extent, distribution, and Dated: December 13, 2007.
events in the future; (2) strategically impact of healthcare-associated William H. Gimson,
supports local, state, national, and infections, antimicrobial use and Chief Operating Officer, Centers for Disease
international efforts to prevent resistance, adverse drug events, Control and Prevention.
healthcare-associated infections, related healthcare worker safety events, and [FR Doc. 07–6130 Filed 12–21–07; 8:45 am]
infections in the community, adherence to clinical processes and BILLING CODE 4160–18–M
antimicrobial resistance, and related intervention programs designed to
adverse events or medical errors using prevent or control adverse exposures or
evidence-based recommendations and outcomes in healthcare; (2) provides DEPARTMENT OF HEALTH AND
effective health communications leadership and consultative services for HUMAN SERVICES
strategies that enhance rapid and statistical methods and analysis to
reliable information dissemination and investigators in the Branch, Division, Administration for Children and
exchange; (3) develops and/or evaluates and other organizations responsible for Families
the effectiveness of both experimental surveillance, research studies, and
and applied interventions to prevent prevention and control of healthcare- Submission for OMB Review;
healthcare-associated infections, related associated infections and other Comment Request
infections in the community, healthcare-associated adverse events; (3) Title: National Survey of Child and
antimicrobial resistance, blood-borne improves methods and enables wider Adolescent Well-Being-Second Cohort
virus transmission, and related adverse use of clinical performance (NSCAW II).
events or medical errors across the measurements by healthcare facilities OMB No.: 0970–0202.
spectrum of healthcare delivery sites; (4) and public health entities for specific Description: The Department of
provides epidemiology support to interventions and prevention strategies Health and Human Services (HHS)
laboratory branch for investigation and designed to safeguard patients and intends to collect data on a new sample
study of both recognized and emerging healthcare workers from risk exposures of children and families for the National
bacterial healthcare pathogens and and adverse outcomes through Survey of Child and Adolescent Well-
related community pathogens, including collaborations with extramural partners; Being (NSCAW). The NSCAW was
antimicrobial resistant forms of these (4) collaborates with public and private authorized under Section 427 of the
pathogens; (5) develops, promotes, and sector partners to further standardize, Personal Responsibility and Work
monitors implementation of guidelines/ integrate, and streamline systems by Opportunities Reconciliation Act of
recommendations, and other proven which healthcare organizations collect, 1996. The original survey began in
interventions to prevent healthcare- manage, analyze, report, and respond to November 1999 with a national sample
associated infections, related infections data on clinical guideline adherence, of 5,501 children, ages 0–14, who had
in the community, blood-borne virus healthcare-associated infections, been the subject of investigation by
transmission, antimicrobial resistance, including transmission of multi-drug- Child Protective Services during the
medical errors, and occupational resistant organisms and other baseline data collection period, which
infections/exposures among healthcare healthcare-associated adverse events; (5) extended from November 1999 through
personnel; (6) develops and/or evaluates coordinates, further develops, enables April 2000. Direct assessments and
the effectiveness of both experimental wider use, and maintains the NHSN, (a interviews were conducted with the
and applied interventions to promote web-based system for healthcare children themselves, their primary
healthcare worker safety; (7) develops, facilities throughout the U.S. to collect caregivers, their caseworkers, and, for
promotes, and monitors implementation and analyze their own data and share school-aged children, their teachers;
of interventions to prevent transmission data with DHQP and other organizations agency directors also were interviewed
of healthcare-associated HIV infections on healthcare-associated adverse events at baseline. Follow-up data collections
and conducts case investigations of and process-of-care measures) to obtain were conducted 12 months, 18 months,
occupational HIV infections; (8) scientifically valid clinical performance and 36 months post-baseline, and a fifth
conducts research, including applied indices and benchmarks that promote data collection is currently under way.
epidemiologic and clinical, to prevent healthcare quality and value at the The NSCAW is the only source of
healthcare-associated infections and facility, state, and national levels; (6) nationally representative, firsthand
antimicrobial resistant infections; (9) conducts applied research to identify information about the functioning and
provides expert consultation, guidance, and develop innovative methods to well-being, service needs, and service
and technical support to other branches detect and monitor healthcare- utilization of children and families who
in the division, across the agency, to associated infections and antimicrobial come to the attention of the child
domestic and international partners, resistance; (7) conducts special studies welfare system. Information is collected
and the U.S. public on the epidemiology and provides national estimates of about children’s cognitive, social,
and prevention of healthcare-associated targeted, healthcare-associated adverse emotional, behavioral, and adaptive
infections, related community events, antimicrobial use and resistance functioning, as well as family and
infections, antimicrobial resistance, and patterns, and the extent to which community factors that are likely to
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exposures/injuries among healthcare prevention and control safeguards are in influence their functioning. Family
personnel; and (10) provides use to protect at-risk patients across the service needs and service utilization
epidemiology support to clinical and spectrum of healthcare delivery sites; also are addressed in the data collection.
environmental microbiology branch to and (8) uses NHSN and other data The current data collection plan calls
identify new strategies to prevent sources to conduct special studies and for selecting a new cohort of 5,700

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Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Notices 73027

children and families and repeating the follow the same format as that used in community though licensing
data collection procedures used in the previous rounds of data collection, and arrangements from the National Data
original study. Selection of a new cohort will employ, with only modest Archive on Child Abuse and Neglect at
will allow the comparison of revisions, the same instruments that Cornell University.
characteristics of children who are have been used in previous rounds.
Respondents: 5,700 children and their
entering the child welfare system today Currently, HHS intends to collect
associated permanent or foster
with those who entered prior to the baseline data and one follow-up 18
implementation of the Adoption and months later, with future follow-up caregivers, caseworkers, and teachers; in
Safe Families Act and prior to the rounds contingent on funding addition, an administrator will be
advent of the Child and Family Services availability. Data from NSCAW are interviewed in each location from
Review process. The data collection will made available to the research which children are sampled.

ANNUAL BURDEN ESTIMATES


Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response

Child Interview ............................................................................................... 5,700 1 1.2 6,840


Permanent Caregiver Interview ..................................................................... 3,800 1 2.0 7,600
Foster Caregiver Interview ............................................................................ 1,990 1 1.5 2,985
Caseworker Interview .................................................................................... 5,700 1 1.0 5,700
Teacher Questionnaire .................................................................................. 3,000 1 .75 2,250
Agency Questionnaire ................................................................................... 97 1 1.0 97

Estimated Total Annual Burden Hours: .................................................. ........................ ........................ .......................... 25,472

Additional Information directly to the following: Office of notice will obtain information about
Copies of the proposed collection may Management and Budget, Paperwork intermediary grantee agencies providing
be obtained by writing to the Reduction Project, FAX: 202–395–6974, capacity building assistance to faith-
Administration for Children and Attn: Desk Officer for ACF. based and community organizations
Families, Office of Administration, Dated: December 17, 2007. under the Compassion Capital Fund
Office of Information Services, 370 Brendan Kelly, (CCF) Demonstration program. The
L’Enfant Promenade, SW., Washington, Reports Clearance Officer. information gathered under this data
DC 20447, Attn: ACF Reports Clearance [FR Doc. 07–6143 Filed 12–21–07; 8:45 am] collection activity will be used to
Officer. All requests should be BILLING CODE 4184–01–M describe the approach and methods
identified by the title of the information used by intermediaries to provide the
collection. E-mail address: services that are being evaluated in the
infocollection@acf.hhs.gov. DEPARTMENT OF HEALTH AND CCF impact evaluation. Information
HUMAN SERVICES collection will be through informal
OMB Comment
discussions and observations on-site at
OMB is required to make a decision Administration for Children and the organizations, using uniform
concerning the collection of information Families protocols.
between 30 and 60 days after
publication of this document in the Submission for OMB Review; Respondents: Directors and staff
Federal Register. Therefore, a comment Comment Request providing technical assistance and
is best assured of having its full effect related services to faith-based and
Title: Compassion Capital Fund
if OMB receives it within 30 days of community organizations and directors
Impact Evaluation Process Study.
publication. Written comments and OMB No.: New Collection. and staff in faith-based and community
recommendations for the proposed Description: The information organizations that have received
information collection should be sent collection activity proposed under this capacity building assistance.

ANNUAL BURDEN ESTIMATES


Number of Average
Number of responses burden Total
Instrument respondents per hours per burden hours
respondent response

Intermediary Protocol for Executive Director ................................................... 10 1 3 30


Intermediary Protocol for Key Staff ................................................................. 30 1 1 30
Faith-based or Community Organization Protocol for Executive Director ...... 30 1 2 60
Faith-based or Community Organization Protocol for Key Staff ..................... 60 1 1 60
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Estimated Total Annual Burden Copies of the proposed collection may Office of Information Services, 370
Hours: 180. be obtained by writing to the L’Enfant Promenade, SW., Washington,
Additional Information: Administration for Children and DC 20447, Attn: ACF Reports Clearance
Families, Office of Administration, Officer. All requests should be

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