81 FR 15725 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 81, Issue 57 (March 24, 2016)

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 information collection request entitled ``HIV Knowledge, Beliefs, Attitudes, and Practices of Providers in the Southeast (K-BAP Study)''. CDC is requesting a three-year approval for new data collection to identify areas of HIV prevention knowledge and practice strengths and deficits among primary care providers, in order to target limited HIV prevention resources to achieve the greatest reduction in new HIV infections and optimize HIV clinical care in clinical settings. The target population will be primary care providers practicing in high- prevalence metropolitan statistical geographic areas with large at-risk African American populations.

[Federal Register Volume 81, Number 57 (Thursday, March 24, 2016)]
[Notices]
[Pages 15725-15727]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-06707]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-16-16VB; Docket No. CDC-2016-0032]


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.

-----------------------------------------------------------------------

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 
information collection request entitled ``HIV Knowledge, Beliefs, 
Attitudes, and Practices of Providers in the Southeast (K-BAP Study)''. 
CDC is requesting a three-year approval for new data collection to 
identify areas of HIV prevention knowledge and practice strengths and 
deficits among primary care providers, in order to target limited HIV 
prevention resources to achieve the greatest reduction in new HIV 
infections and optimize HIV clinical care in clinical settings. The 
target population will be primary care providers practicing in high-
prevalence metropolitan statistical geographic areas with large at-risk 
African American populations.

DATES: Written comments must be received on or before May 23, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0032 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.


[[Page 15726]]


    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

    HIV Knowledge, Beliefs, Attitudes, and Practices of Providers in 
the Southeast (K-BAP Study)--New--National Center for HIV/AIDS, Viral 
Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    Persons at high risk of HIV infection have often had one or more 
contacts with a health care provider within a year of their diagnoses. 
These health care encounters represent missed opportunities to: (1) 
Review and discuss sexual health and risk reduction, (2) screen for HIV 
infection and other STDs, (3) recognize and diagnose acute HIV 
infection and offer immediate antiretroviral therapy (ART) if 
indicated, (4) discuss the prevention benefit of treatment (with 
subsequent referral or prescription) and re-engagement in care, as 
appropriate, and (5) provide PrEP and nPEP if not infected and at high 
risk, consistent with current HIV prevention guidelines and 
recommendations.
    Health care providers in high-prevalence geographic areas could 
substantially reduce new HIV infections among the patient populations 
they serve, as well as their communities. Health care providers are a 
trusted source of reliable information. They also have the capacity to 
perform STD/HIV testing and to prescribe medication with appropriate 
clinical follow-up.
    Review of the literature published between January 2000 and June 
2014 indicates we know little about providers' knowledge, beliefs, 
attitudes, and practices (K-BAP) in at-risk jurisdictions about HIV 
risk, HIV diagnosis and antiretroviral drug interventions in these 
domains, especially primary care providers serving high-risk patients 
in high-prevalence communities. K-BAP Study is an effort to assess 
providers' K-BAP using a cross sectional survey in the five priority 
HIV prevention domains noted above.
    This K-BAP Study aligns with multiple goals and objectives of the 
National HIV/AIDS Strategy (NHAS) and CDC's ``winnable battles.''
    The project's specific objectives are to (1) Characterize 
knowledge, beliefs, attitudes, and practices of providers in five key 
HIV prevention domains in high-HIV prevalence communities with 
disproportionate numbers of blacks/African Americans, and (2) Educate 
providers about prevention interventions related to these domains based 
on survey-identified knowledge, beliefs, attitudes, and practices of 
providers' deficits.
    The respondent population of medical providers will be pulled from 
the Healthcare Data Solutions (HDS) ProviderPRO and MidLevelPRO 
databases. Respondents will be recruited to participate in the survey 
through a combination of emails and phone calls. This strategy will 
consist of four emails spaced one week apart followed by phone calls to 
non-responders. The emails will explain the purpose of the survey, the 
availability of continuing education (CE) credits, and the $20 cash 
token of appreciation.
    A large two-part internet-based survey will be conducted among a 
representative random sample of providers in the selected six (6) 
metropolitan statistical areas (MSAs) with the highest HIV burden among 
the African American population. Part one of survey will be 
administered to participants at the beginning of project. The part-one 
survey findings will used to identify providers' knowledge, beliefs, 
attitudes, and practices of providers that might require additional 
educational reinforcement. Based on survey responses, providers will be 
linked to continuing education (CE) credit-eligible educational modules 
to improve their educational deficits. The educational modules are all 
web-based using either video or case-based methods of learning. The 
length of the course range from 1-3 hours accounting for 0.25--1.0 
credit hours. Part two of survey will be administered six months later 
comprising of only the core questions in part one of survey to assess 
impact of CE modules on providers' practices regarding HIV prevention 
and treatment.
    There are no costs to respondents other than their time. The total 
annual burden hours are 1,172.

[[Page 15727]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondent            Form name       respondents    responses per   response  (in    (in hours)
                                                                    respondent        Hours)
----------------------------------------------------------------------------------------------------------------
Providers.....................  K-BAP Provider             1,827               1           29/60             883
                                 Baseline
                                 Screener and
                                 Survey.
Providers.....................  K-BAP Provider               914               1           19/60             289
                                 Follow-Up
                                 Screener and
                                 Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           1,172
----------------------------------------------------------------------------------------------------------------


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. 2016-06707 Filed 3-23-16; 8:45 am]
 BILLING CODE 4163-18-P