81 FR 3140 - 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 12 (January 20, 2016)

Page Range		3140-3142
FR Document		2016-00938

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 the Behavioral Risk Factor Surveillance System (BRFSS), a state-level survey of health risk behaviors and chronic health conditions. Survey questions are updated each year. The information collection is being revised to incorporate an annual field test of proposed changes prior to their implementation on a broad scale.

Federal Register, Volume 81 Issue 12 (Wednesday, January 20, 2016)

[Federal Register Volume 81, Number 12 (Wednesday, January 20, 2016)]
[Notices]
[Pages 3140-3142]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-00938]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-16-1061; Docket No. CDC-2016-0008]


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 the Behavioral 
Risk Factor Surveillance System (BRFSS), a state-level survey of health 
risk behaviors and chronic health conditions. Survey questions are 
updated each year. The information collection is being revised to 
incorporate an annual field test of proposed changes prior to their 
implementation on a broad scale.

DATES: Written comments must be received on or before March 21, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0008 by any of the following methods:

[[Page 3141]]

    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

    Behavioral Risk Factor Surveillance System (BRFSS) (OMB No. 0920-
1061, exp. 3/31/2018)--Revision--National Center for Chronic Disease 
Prevention and Health Promotion (NCCDPHP), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    The Behavioral Risk Factor Surveillance System (BRFSS) is a CDC-
sponsored system of cross-sectional telephone health surveys concerning 
individual health risk behaviors, health conditions, and preventive 
health practices that are associated with chronic diseases, infectious 
diseases, and injury. The BRFSS is administered annually by health 
departments in states, territories, and the District of Columbia 
(collectively referred to as states). An independent sample of 
respondents is drawn for each state. The system is designed to produce 
information that is specific to the public health needs of each 
participating jurisdiction, and for many is the only source of health 
risk data amenable to their uses. Although national estimates of some 
health risk behaviors are available, the methods used to produce 
national estimates do not typically produce the type of detailed 
information needed to plan and implement public health programs; 
moreover, national estimates provide only limited insight into regional 
or state-specific variability in health status and risk factors. Over 
time the BRFSS has developed into an important data collection system 
that federal agencies rely on for state and local health information 
and to track national health objectives such as Healthy People. Through 
the BRFSS partnership, CDC has established standard protocols for BRFSS 
data collection which all states are encouraged to adopt. These 
standards allow for state-to-state data comparisons as well as 
comparisons over time.
    The BRFSS questionnaire is based on modular design principles to 
accommodate a variety of state-specific needs within a common 
framework. All participating states are required to administer a 
standardized core questionnaire which provides a set of shared health 
indicators for all BRFSS partners. The BRFSS core questionnaire 
consists of fixed core, rotating core, and emerging core questions. 
Fixed core questions are asked every year. Rotating core questions 
cycle on and off the core questionnaire during even or odd years, 
depending on the question. Emerging core questions are included in the 
core questionnaire as needed to collect data on urgent or emerging 
health topics such as influenza.
    In addition, the BRFSS includes a series of optional modules on a 
variety of topics. In off-years when the rotating questions are not 
included in the core questionnaire, they are offered to states as an 
optional module. This framework allows each state to produce a 
customized BRFSS survey by appending selected optional modules to the 
core survey. States may select which, if any, optional modules to 
administer. As needed, CDC provides technical and methodological 
assistance to state BRFSS coordinators in the construction of their 
state-specific surveys.
    The CDC and BRFSS partners produce a new set of state-specific 
BRFSS questionnaires each calendar year (i.e., 2016 BRFSS 
questionnaires, 2017 BRFSS questionnaires, etc.). CDC submits an annual 
Change Request to OMB outlining updates to the BRFSS core survey and 
optional modules that have occurred since the previous year. Each state 
administers its BRFSS questionnaire throughout the calendar year. The 
BRFSS partnership thus results in a flexible, coordinated information 
collection system that is adaptive to national and state-specific 
needs.
    The current estimated average burden for the core BRFSS interview 
is 15 minutes. For the optional modules, the estimated average burden 
per response varies by state and year, but is currently estimated at an 
additional 15 minutes. Finally, the BRFSS allows states to customize 
some portions of the questionnaire through the addition of state-added 
questions, which are neither reviewed nor approved by the CDC. State-
added questions are not included in CDC's burden estimates.
    CDC periodically updates the BRFSS core survey and optional modules 
as new modules or emerging core

[[Page 3142]]

questions are adopted. The purpose of this Revision request is to 
incorporate field testing into the approved information collection 
plan.
    Field testing is the final check of changes in the questionnaire 
which have occurred in the preceding year. Field testing is conducted 
in a manner that mimics the full-scale project protocol, to the degree 
that is feasible. Field testing is the final means by which changes are 
made in data collection methods and data collection software is tested. 
Field tests are used to identify problems with instrument documentation 
or instructions, problems with conditional logic (e.g., skip patterns), 
software errors or other implementation and usability issues. Field 
testing is conducted with all new modules, emerging core questions, 
sections which precede and/or follow any new or changed items and 
extant sections which are topically related. This testing is conducted 
to ensure that questions are not perceived as redundant or overlapping. 
Extant sections of the questionnaire unrelated to new items do not 
require testing. The demographic questions on the core BRFSS survey are 
included on each field test.
    Since the field test instrument changes annually, it will be 
submitted to OMB for approval as an additional Change Request prior to 
implementation. Field tests are typically conducted in a single state 
with appropriate computer-assisted telephone interview (CATI) 
capability. Individuals who participate in field testing are drawn from 
a different sample than individuals who participate in the BRFSS 
surveys.
    The BRFSS was initially approved with annualized estimates of 
1,643,227 responses and 255,915 burden hours inclusive of the core 
survey and optional modules. CDC is requesting an additional allocation 
of 900 responses and 9,210 burden hours to conduct the annual field 
test. After a brief screening interview, approximately 400 respondents 
per year will be determined ineligible or will decline to participate. 
The estimated burden per response for these respondents is one minute. 
An additional 500 respondents will participate in both the screening 
interview and the actual field test. The estimated burden for these 
respondents is 45 minutes. In years when fewer new questions and/or 
changes are proposed to the BRFSS questionnaire, field testing will 
impose a lesser burden. The revised total annualized estimates are 
1,644,127 responses and 265,125 burden hours.
    Information collection is conducted primarily to support state and 
local health departments, which plan and evaluate public health 
programs at the state or sub-state level. Information collected through 
the BRFSS is also used by the federal government and other entities. 
Participation in the BRFSS and its field test is voluntary and there 
are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response (in       (in hr)
                                                                    respondent          hr)
----------------------------------------------------------------------------------------------------------------
U.S. General Population.......  Landline                 440,486               1            1/60           7,341
                                 Screener.
                                Cell Phone               223,334               1            1/60           3,722
                                 Screener.
                                Field Test                   400               1            1/60               7
                                 Screener.
Annual Survey                   BRFSS Core               494,650               1           15/60         123,662
 Respondents(Adults >18 Years).  Survey.
                                BRFSS Optional           484,757               1           15/60         121,189
                                 Modules.
Field Test Respondents(Adults   Field Test                   500               1           45/60             375
 >18 Years).                     Survey.
    Total.....................  ................  ..............  ..............  ..............         256,296
----------------------------------------------------------------------------------------------------------------


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. 2016-00938 Filed 1-19-16; 8:45 am]
BILLING CODE 4163-18-P

3140 Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices

the second leading cause of death from increase CRC screening rates among an RFA–DP15–1502) requires that CDC
cancer in the United States. CRC applicant defined target population of monitor and evaluate the CRCCP and
screening has been shown to reduce persons 50–75 years of age within a individual grantee performance using
incidence of and death from the disease. partner health system serving a defined both process and outcome evaluation.
Screening for CRC can detect disease geographical area or disparate Two forms of data collection are
early when treatment is more effective population. proposed. First, the CRCCP grantee
and prevent cancer by finding and The CRCCP was significantly survey was redesigned to align with
removing precancerous polyps. Of redesigned in 2015 and has two new CRCCP goals. The grantee survey
individuals diagnosed with early stage components. Under Component 1, all 31 will be submitted to CDC annually.
CRC, more than 90% live five or more CRCCP grantees receive funding to Second, CDC proposes to collect clinic-
years. Despite strong evidence support partnerships with health level data to assess changes in CDC’s
supporting screening, only 65% of systems to implement up to four priority primary outcome of interest, i.e., CRC
adults currently report being up-to-date evidence-based interventions (EBIs) screening rates within partner health
with CRC screening as recommended by described in the Guide to Community systems. Each grantee will complete a
the U.S. Preventive Services Task Force, Preventive Services, as well as other clinic-level data template once per
with more than 22 million age-eligible supporting strategies. Grantees must month. All information will be reported
adults estimated to be untested. To implement at least two EBIs in each to CDC electronically.
reduce CRC morbidity, mortality, and partnering health system. Under
associated costs, use of CRC screening Component 2, 6 of the 31 CRCCP The information collection will
tests must be increased among age- grantees will provide direct screening enable CDC to gauge progress in meeting
eligible adults with the lowest CRC and follow-up clinical services for a CRCCP program goals and to monitor
screening rates. limited number of individuals aged 50– implementation activities, evaluate
CDC’s Colorectal Cancer Control 64 in the program’s priority population outcomes, and identify grantee technical
Program (CRCCP) currently provides who are asymptomatic, at average risk assistance needs. In addition, findings
funding to 31 grantees under for CRC, have inadequate or no health will inform program improvement and
‘‘Organized Approaches to Increase insurance for CRC screening, and are help identify successful activities that
Colorectal Cancer Screening’’ (CDC– low income need to be maintained, replicated, or
RFA–DP15–1502). CRCCP grantees Based on the redesigned CRCCP, the expanded.
include state governments or bona-fide information collection plan has also OMB approval is requested for three
agents, universities, and tribal been redesigned to address the two years. Participation is required for
organizations. The purpose of the new program components. The new CRCCP awardees. There are no costs to
cooperative agreement program is to cooperative agreement program (CDC– respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per Total burden
Type of respondent Form name responses per
respondents response (in hr)
respondent (in hr)

CRCCP Grantees ......................................... CRCCP Annual Grantee Sur- 31 1 45/60 23
vey.
CRCCP Clinic-level Data 31 12 30/60 186
Collection Template.

Total ....................................................... ............................................... ........................ ........................ ........................ 209

Leroy A. Richardson, DEPARTMENT OF HEALTH AND general public and other Federal
Chief, Information Collection Review Office, HUMAN SERVICES agencies to take this opportunity to
Office of Scientific Integrity, Office of the comment on proposed and/or
Associate Director for Science, Office of the Centers for Disease Control and continuing information collections, as
Director, Centers for Disease Control and Prevention required by the Paperwork Reduction
Prevention. Act of 1995. This notice invites
[FR Doc. 2016–00939 Filed 1–19–16; 8:45 am] [60 Day–16–1061; Docket No. CDC–2016–
0008] comment on the Behavioral Risk Factor
BILLING CODE 4163–18–P Surveillance System (BRFSS), a state-
Proposed Data Collection Submitted level survey of health risk behaviors and
for Public Comment and chronic health conditions. Survey
Recommendations questions are updated each year. The
information collection is being revised
AGENCY: Centers for Disease Control and
to incorporate an annual field test of
Prevention (CDC), Department of Health
proposed changes prior to their
and Human Services (HHS).
implementation on a broad scale.
tkelley on DSK4VPTVN1PROD with NOTICES

ACTION: Notice with comment period.
DATES: Written comments must be
SUMMARY: The Centers for Disease received on or before March 21, 2016.
Control and Prevention (CDC), as part of
its continuing efforts to reduce public ADDRESSES: You may submit comments,
burden and maximize the utility of identified by Docket No. CDC–2016–
government information, invites the 0008 by any of the following methods:

VerDate Sep<11>2014 18:12 Jan 19, 2016 Jkt 238001 PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 E:\FR\FM\20JAN1.SGM 20JAN1

3142 Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices

questions are adopted. The purpose of redundant or overlapping. Extant interview, approximately 400
this Revision request is to incorporate sections of the questionnaire unrelated respondents per year will be determined
field testing into the approved to new items do not require testing. The ineligible or will decline to participate.
information collection plan. demographic questions on the core The estimated burden per response for
Field testing is the final check of BRFSS survey are included on each these respondents is one minute. An
changes in the questionnaire which field test. additional 500 respondents will
have occurred in the preceding year. Since the field test instrument participate in both the screening
Field testing is conducted in a manner changes annually, it will be submitted interview and the actual field test. The
that mimics the full-scale project to OMB for approval as an additional estimated burden for these respondents
protocol, to the degree that is feasible. Change Request prior to is 45 minutes. In years when fewer new
Field testing is the final means by which implementation. Field tests are typically questions and/or changes are proposed
changes are made in data collection conducted in a single state with to the BRFSS questionnaire, field testing
methods and data collection software is appropriate computer-assisted will impose a lesser burden. The revised
tested. Field tests are used to identify telephone interview (CATI) capability. total annualized estimates are 1,644,127
problems with instrument Individuals who participate in field responses and 265,125 burden hours.
documentation or instructions, testing are drawn from a different Information collection is conducted
problems with conditional logic (e.g., sample than individuals who participate primarily to support state and local
skip patterns), software errors or other in the BRFSS surveys. health departments, which plan and
implementation and usability issues. The BRFSS was initially approved evaluate public health programs at the
Field testing is conducted with all new with annualized estimates of 1,643,227 state or sub-state level. Information
modules, emerging core questions, responses and 255,915 burden hours collected through the BRFSS is also
sections which precede and/or follow inclusive of the core survey and used by the federal government and
any new or changed items and extant optional modules. CDC is requesting an other entities. Participation in the
sections which are topically related. additional allocation of 900 responses BRFSS and its field test is voluntary and
This testing is conducted to ensure that and 9,210 burden hours to conduct the there are no costs to respondents other
questions are not perceived as annual field test. After a brief screening than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per Total burden
Type of respondents Form name responses per
respondents response (in hr)
respondent (in hr)

U.S. General Population ............................... Landline Screener ................ 440,486 1 1/60 7,341
Cell Phone Screener ............ 223,334 1 1/60 3,722
Field Test Screener .............. 400 1 1/60 7
Annual Survey Respondents(Adults >18 BRFSS Core Survey ............ 494,650 1 15/60 123,662
Years).
BRFSS Optional Modules .... 484,757 1 15/60 121,189
Field Test Respondents(Adults >18 Years) Field Test Survey ................. 500 1 45/60 375
Total ....................................................... ............................................... 256,296

Leroy A. Richardson, SUMMARY: The Centers for Disease Prevention, 1600 Clifton Road, NE.,
Chief, Information Collection Review Office, Control and Prevention (CDC), as part of MS–D74, Atlanta, Georgia 30329.
Office of Scientific Integrity, Office of the its continuing efforts to reduce public Instructions: All submissions received
Associate Director for Science, Office of the burden and maximize the utility of must include the agency name and
Director, Centers for Disease Control and government information, invites the Docket Number. All relevant comments
Prevention. general public and other Federal received will be posted without change
[FR Doc. 2016–00938 Filed 1–19–16; 8:45 am] agencies to take this opportunity to to Regulations.gov, including any
BILLING CODE 4163–18–P comment on proposed and/or personal information provided. For
continuing information collections, as access to the docket to read background
required by the Paperwork Reduction documents or comments received, go to
DEPARTMENT OF HEALTH AND Act of 1995. This notice invites Regulations.gov.
HUMAN SERVICES comment on the proposed information Please note: All public comment
collect project entitled ‘‘The Pregnancy should be submitted through the
Centers for Disease Control and Federal eRulemaking portal
Prevention Risk Assessment Surveillance System’’.
(Regulations.gov) or by U.S. mail to the
DATES: Written comments must be
[60Day–16–16JO; Docket No. CDC–2016– address listed above.
received on or before March 21, 2016.
0005] FOR FURTHER INFORMATION CONTACT: To
ADDRESSES: You may submit comments, request more information on the
Proposed Data Collection Submitted identified by Docket No. CDC–2016– proposed project or to obtain a copy of
for Public Comment and 0005 by any of the following methods:
tkelley on DSK4VPTVN1PROD with NOTICES

the information collection plan and
Recommendations Federal eRulemaking Portal: instruments, contact the Information
AGENCY: Centers for Disease Control and Regulation.gov. Follow the instructions Collection Review Office, Centers for
Prevention (CDC), Department of Health for submitting comments. Disease Control and Prevention, 1600
and Human Services (HHS). Mail: Leroy A. Richardson, Clifton Road, NE., MS–D74, Atlanta,
Information Collection Review Office, Georgia 30329; phone: 404–639–7570;
ACTION: Notice with comment period.
Centers for Disease Control and Email: omb@cdc.gov.

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Document Created: 2016-01-19 23:43:52
Document Modified: 2016-01-19 23:43:52

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice with comment period.
Dates		Written comments must be received on or before March 21, 2016.
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]
FR Citation		81 FR 3140

81 FR 3140 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 81, Issue 12 (January 20, 2016)

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