[Federal Register Volume 80, Number 108 (Friday, June 5, 2015)]
[Notices]
[Pages 32131-32132]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13798]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Docket No. CDC-2015-0038; 60Day-15-0964]
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 efforts to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies to take this opportunity to comment on proposed and/or
continuing information collections, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
reinstatement of an information collection entitled ``Interventions to
Reduce Shoulder MSDs in Overhead Assembly''. This information
collection is part of a study to assess the effectiveness and cost-
benefit of occupational safety and health (OSH) interventions to
prevent musculoskeletal disorders (MSDs) among workers in the
Manufacturing (MNF) sector.
DATES: Written comments must be received on or before August 4, 2015.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0038 by any of the following methods:
Federal eRulemaking Portal: Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (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 the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].
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 OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
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; (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; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services
to provide information. Burden means the total time, effort, or
financial resources expended by persons to generate, maintain, retain,
disclose or provide information to or for a Federal agency. This
includes the time needed to review instructions; to develop, acquire,
install and utilize technology and systems for the purpose of
collecting, validating and verifying information, processing and
maintaining information, and disclosing and providing information; to
train personnel and to be able to respond to a collection of
information, to search data sources, to complete and review the
collection of information; and to transmit or otherwise disclose the
information.
Proposed Project
Interventions to Reduce Shoulder MSDs in Overhead Assembly--
Reinstatement--(OMB Control No. 0920-0964, Expired 4/30/2015), National
Institute for Occupational Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The mission of the National Institute for Occupational Safety and
Health (NIOSH) is to promote safety and health at work for all people
through research and prevention. Under Public Law 91-596, sections 20
and 22 (Section 20-22, Occupational Safety and Health Act of 1970),
NIOSH has the responsibility to conduct research to advance the health
and safety of workers. In this capacity, NIOSH proposes a reinstatement
for a study to assess the effectiveness and cost-benefit of
occupational safety and health (OSH) interventions to prevent
musculoskeletal disorders (MSDs) among workers in the Manufacturing
(MNF) sector. The original information collection request expired on
April 30, 2015. A reinstatement is being requested in order to allow
the program to resume the data collection activities.
MSDs represent a major proportion of injury/illness incidence and
cost in the U.S. Manufacturing (MNF) sector. In 2008, 29% of non-fatal
injuries and illnesses involving days away from work (DAW) in the MNF
sector involved MSDs and the MNF sector had some of the highest rates
of MSD DAW cases. The rate for the motor vehicle manufacturing sub-
sector (NAICS 3361) was among the highest of MNF sub sectors, with MSD
DAW rates that were higher than the general manufacturing MSD DAW rates
from 2003-2007.
In automotive manufacturing overhead conveyance of the vehicle
chassis requires assembly line employees to use tools in working
postures with the arms elevated. These postures are believed to be
associated with symptoms of upper limb discomfort, fatigue, and
impingement syndromes (Fischer et al., 2007). Overhead working posture,
independent of the force or load exerted with the hands, may play a
role in the development in these conditions.
However, recent studies suggest a more significant role of
localized shoulder muscle fatigue in contributing to these disorders.
Fatigue of the shoulder muscles may result in changes
[[Page 32132]]
in normal shoulder kinematics (motion) that affect risk for shoulder
impingement disorders (Ebaugh et al., 2006; Chopp et al., 2010).
The U.S. Manufacturing sector has faced a number of challenges
including an overall decline in jobs, an aging workforce, and changes
in organizational management systems. Studies have indicated that the
average age of industrial workers is increasing and that older workers
may differ from younger workers in work capacity, injury risk, severity
of injuries, and speed of recovery (Kenny et al., 2008; Gall et al.,
2004; Restrepo et al., 2006). As the average age of the industrial
population increases and newer systems of work organization (such as
lean manufacturing) are changing the nature of labor-intensive work,
prevention of MSDs will be more critical to protecting older workers
and maintaining productivity.
This study will continue to evaluate the efficacy of two
intervention strategies for reducing musculoskeletal symptoms and pain
in the shoulder attributable to overhead assembly work in automotive
manufacturing. These interventions are, (1) an articulating spring-
tensioned tool support device that unloads from the worker the weight
of the tool that would otherwise be manually supported, and, (2) a
targeted exercise program intended to increase individual employees'
strength and endurance in the shoulder and upper arm stabilizing muscle
group. As a primary prevention strategy, the tool support engineering
control approach is preferred; however, a cost-efficient opportunity
exists to concurrently evaluate the efficacy of a preventive exercise
program intervention. Both of these intervention approaches have been
used in the Manufacturing sector, and preliminary evidence suggests
that both approaches may have merit. However, high quality evidence
demonstrating their effectiveness, by way of controlled trials, is
lacking.
This project will be conducted as a partnership between NIOSH and
Toyota Motors Engineering & Manufacturing North America, Inc. (TEMA),
with the intervention evaluation study taking place at the Toyota Motor
Manufacturing Kentucky, Inc. (TMMK) manufacturing facility in
Georgetown, Kentucky. The prospective intervention evaluation study
will be conducted using a group-randomized controlled trial multi-time
series design. Four groups of 25-30 employees will be established to
test the two intervention treatment conditions (tool support, exercise
program), a combined intervention treatment condition, and a control
condition. The four groups will be comprised of employees working on
two vehicle assembly lines in different parts of the facility, on two
work shifts (first and second shift). Individual randomization to
treatment condition is not feasible, so a group-randomization (by work
unit) will be used to assign the four groups to treatment and control
conditions. Observations will be made over the 10-month study period
and questionnaires will include the Shoulder Rating Questionnaire
(SRQ), Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire,
a Standardized Nordic Questionnaire for body part discomfort, and a
Work Organization Questionnaire. In addition to the questionnaires, a
shoulder-specific functional capacity evaluation test battery will be
administered at 90 and 210 days, immediately pre- and post-
intervention, to confirm the efficacy of the targeted exercise program
in improving shoulder capacity.
In summary, this study will evaluate the effectiveness of two
interventions to reduce musculoskeletal symptoms and pain in the
shoulder associated with repetitive overhead work in the manufacturing
industry. In addition, NIOSH will disseminate the results of evidence-
based prevention practices to the greatest audience possible. NIOSH
expects to complete all data collection by 2018. There is no cost to
respondents other than their time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hrs.)
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Employees.................. PAR-Q (Physical 125 1 2/60 4
Activity
Readiness).
Employees.................. Shoulder rating 125 10 4/60 83
Questionnaire
(SQR).
Employees.................. Disabilities of 125 10 6/60 125
Arm Shoulder
and Hand
(DASH).
Employees.................. Standardized 125 10 4/60 83
Nordic
Questionnaire
for
Musculoskeleta
l Symptoms.
Employees.................. Work Org 125 3 26/60 163
Questionnaire.
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Total.................. ............... ............... ............... ............... 458
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Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-13798 Filed 6-4-15; 8:45 am]
BILLING CODE 4163-18-P