81_FR_8997 81 FR 8962 - Agency Forms Undergoing Paperwork Reduction Act Review

81 FR 8962 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 81, Issue 35 (February 23, 2016)

Page Range8962-8963
FR Document2016-03687

Federal Register, Volume 81 Issue 35 (Tuesday, February 23, 2016)
[Federal Register Volume 81, Number 35 (Tuesday, February 23, 2016)]
[Notices]
[Pages 8962-8963]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-03687]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-16OJ]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) Minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Written comments and/or 
suggestions regarding the items contained in this notice should be 
directed to the Attention: CDC Desk Officer, Office of Management and 
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written 
comments should be received within 30 days of this notice.

Proposed Project

    The Girl Power Project Efficacy Trial--New--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).
    The 60-day Federal Register Notice, published on August 12, 2015, 
was titled ``Efficacy Study of a Mobile Application to Provide 
Comprehensive and Medically Accurate Sexual Health Information for 
Adolescent Girls.'' On January 19, 2016, a 30-day Federal Register 
Notice was published under the revised title ``The Girl Power Project 
Efficacy Trial.'' The burden table in the 30-day Notice was incorrect 
due to omission of information collection conducted to screen potential 
study participants for eligibility. This Notice corrects the error and 
provides an updated estimate of total burden to respondents.

Background and Brief Description

    Despite drastic reductions in teen births across all racial and 
ethnic groups, Black and Latino girls continue to have 
disproportionately high rates of teen births. Increasing girls' access 
to medically accurate and comprehensive sexual health information is 
the first step in sustaining momentum in teen pregnancy reduction among 
all racial and ethnic groups, and in promoting healthy sexual 
behaviors, especially among minority girls.
    CDC plans to collect the information needed to test the efficacy of 
a comprehensive and medically accurate mobile application, titled 
Crush, in increasing adolescent girls' contraception use and clinic 
visitation for sexual and reproductive health services. The information 
disseminated via Crush is similar to the sexual health information 
youth can access via other Web sites, sexual health promotion 
educational materials or in clinics.
    The study will randomize a sample of 1,200 girls, ages 14-18 years, 
into two groups: the intervention group and the control group. The 
intervention group will have access to Crush and will receive weekly 
sexual health information via text to their phones for six months. The 
control group will have access to a fitness mobile application 
(``app'') and will receive general health information via text to their 
phones for six months. Participants are expected to access either app 
frequently throughout a six month period. As part of the analysis, 
sexual behavior and key psychosocial factors will be assessed at three 
points in time: at baseline, and at three- and six-month follow-ups.
    Efficacy testing will respond to the following research questions:
    1. Does exposure to Crush increase consistent contraception use 
among participants?
    2. Does exposure to Crush increase clinic utilization rate among 
participants?
    3. Is media content more attractive to participants than text-based 
content?
    For research questions 1 and 2, we hypothesize that participants in 
the intervention group will report increased intent to use effective 
contraception and utilize clinic services at three and six months post-
intervention.
    The study will also include a usability testing component to 
identify the content and features of Crush that are most attractive to 
participants, the frequency in which Crush was used, and the navigation 
patterns within Crush. Participants will create an account in the 
Enrollment Database. This database will host participants' enrollment 
information, basic demographic information, and will also track their 
navigation pattern to monitor Crush visitation frequency and visit 
duration. Navigation data will be used to assess intervention exposure 
and dosage to specific content areas of Crush. To test real-world 
utilization of Crush, control group participants will gain access to 
Crush six months after enrolling into the study, but will not receive 
weekly text messages. The study will track visitation frequency and 
duration of each visit. Usability testing will respond to Research 
Question #3. We hypothesize that participants in the intervention group 
will spend more time using media features than text-based content.
    All information will be collected electronically. This study will 
collect data through two mechanisms: (1) Self-administered online 
surveys, and (2) the Crush enrollment database. Interested participants 
will initially complete screening questions to confirm their 
eligibility. CDC estimates that 3,000 respondents will be screened in 
order to reach the target number of 1,200 enrolled study participants. 
Information collection for enrolled participants consists of three 
self-administered online surveys at conduct at baseline, three months 
after baseline, and six months after baseline. Survey questions will 
assess behavior, attitudes, social norms about sexual behavior, 
contraception use and clinic utilization, and satisfaction with Crush.
    The mobile response surveys will be sent to participants via text 
message which they can complete on a smartphone. The estimated burden 
per response is 5-15 minutes. Survey responses will be matched by each 
participant's unique identifying

[[Page 8963]]

number. Each participant will receive up to two survey reminders 
starting one week after the initial survey link is sent, for two 
consecutive weeks. There are minor differences in survey content for 
the control and intervention groups.
    Each participant will create a profile in the database upon 
enrollment. This database will collect initial demographic and contact 
information, informed consent signatures, and information about the 
participant's navigation pattern through Crush. Any information entered 
directly into Crush interactive features will not be stored in the 
system. The database only collects web analytics data about page visits 
and duration of each visit by User Identification (ID) and Internet 
Protocol (IP) address. Web analytics will only be collected from 
participants navigating Crush and only when they are logged in as 
users. Web analytics are generated for any Web site and are a standard 
evaluation mechanism for assessing the traffic patterns on Web pages. 
This technology permits development of an objective and quantifiable 
measure that tracks and records participants' exposure to Crush. This 
study component does not entail any response burden to participants.
    Findings will be used to inform the development and delivery of 
effective health communications.
    OMB approval is requested for one year. Participation is voluntary 
and there are no costs to respondents other than their time. The total 
estimated annualized burden hours are 802.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of      Avg. burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Girls 14-18 years old.................  Screener Questions......           3,000               1            1/60
                                        Enrollment Questions....           1,200               1            5/60
Intervention Group....................  Baseline Survey.........             600               1           15/60
                                        3-Month Survey..........             480               1           10/60
                                        6-Month Survey..........             384               1           15/60
Control Group.........................  Baseline Survey.........             600               1           15/60
                                        3-Month Survey..........             480               1           10/60
                                        6-Month Survey..........             384               1           15/60
----------------------------------------------------------------------------------------------------------------


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. 2016-03687 Filed 2-22-16; 8:45 am]
 BILLING CODE 4163-18-P



                                                  8962                        Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices

                                                  Privacy Act, see http://www.ftc.gov/ftc/                Proposed Project                                         1. Does exposure to Crush increase
                                                  privacy.htm.                                               The Girl Power Project Efficacy                    consistent contraception use among
                                                                                                          Trial—New—National Center for                         participants?
                                                  David C. Shonka,
                                                                                                          Chronic Disease Prevention and Health                    2. Does exposure to Crush increase
                                                  Principal Deputy General Counsel.                                                                             clinic utilization rate among
                                                  [FR Doc. 2016–03718 Filed 2–22–16; 8:45 am]
                                                                                                          Promotion (NCCDPHP), Centers for
                                                                                                          Disease Control and Prevention (CDC).                 participants?
                                                  BILLING CODE 6750–01–P
                                                                                                             The 60-day Federal Register Notice,                   3. Is media content more attractive to
                                                                                                          published on August 12, 2015, was                     participants than text-based content?
                                                                                                                                                                   For research questions 1 and 2, we
                                                                                                          titled ‘‘Efficacy Study of a Mobile
                                                  DEPARTMENT OF HEALTH AND                                                                                      hypothesize that participants in the
                                                                                                          Application to Provide Comprehensive
                                                  HUMAN SERVICES                                                                                                intervention group will report increased
                                                                                                          and Medically Accurate Sexual Health
                                                                                                                                                                intent to use effective contraception and
                                                                                                          Information for Adolescent Girls.’’ On
                                                  Centers for Disease Control and                                                                               utilize clinic services at three and six
                                                                                                          January 19, 2016, a 30-day Federal
                                                  Prevention                                                                                                    months post-intervention.
                                                                                                          Register Notice was published under                      The study will also include a usability
                                                  [30Day–16–16OJ]                                         the revised title ‘‘The Girl Power Project            testing component to identify the
                                                                                                          Efficacy Trial.’’ The burden table in the             content and features of Crush that are
                                                  Agency Forms Undergoing Paperwork                       30-day Notice was incorrect due to
                                                  Reduction Act Review                                                                                          most attractive to participants, the
                                                                                                          omission of information collection                    frequency in which Crush was used,
                                                     The Centers for Disease Control and                  conducted to screen potential study                   and the navigation patterns within
                                                  Prevention (CDC) has submitted the                      participants for eligibility. This Notice             Crush. Participants will create an
                                                  following information collection request                corrects the error and provides an                    account in the Enrollment Database.
                                                  to the Office of Management and Budget                  updated estimate of total burden to                   This database will host participants’
                                                  (OMB) for review and approval in                        respondents.                                          enrollment information, basic
                                                  accordance with the Paperwork                           Background and Brief Description                      demographic information, and will also
                                                  Reduction Act of 1995. The notice for                                                                         track their navigation pattern to monitor
                                                                                                             Despite drastic reductions in teen
                                                  the proposed information collection is                                                                        Crush visitation frequency and visit
                                                                                                          births across all racial and ethnic
                                                  published to obtain comments from the                                                                         duration. Navigation data will be used
                                                                                                          groups, Black and Latino girls continue
                                                  public and affected agencies.                           to have disproportionately high rates of              to assess intervention exposure and
                                                     Written comments and suggestions                                                                           dosage to specific content areas of
                                                                                                          teen births. Increasing girls’ access to
                                                  from the public and affected agencies                                                                         Crush. To test real-world utilization of
                                                                                                          medically accurate and comprehensive
                                                  concerning the proposed collection of                                                                         Crush, control group participants will
                                                                                                          sexual health information is the first
                                                  information are encouraged. Your                                                                              gain access to Crush six months after
                                                                                                          step in sustaining momentum in teen
                                                  comments should address any of the                                                                            enrolling into the study, but will not
                                                                                                          pregnancy reduction among all racial
                                                  following: (a) Evaluate whether the                                                                           receive weekly text messages. The study
                                                                                                          and ethnic groups, and in promoting
                                                  proposed collection of information is                                                                         will track visitation frequency and
                                                                                                          healthy sexual behaviors, especially
                                                  necessary for the proper performance of                 among minority girls.                                 duration of each visit. Usability testing
                                                  the functions of the agency, including                     CDC plans to collect the information               will respond to Research Question #3.
                                                  whether the information will have                       needed to test the efficacy of a                      We hypothesize that participants in the
                                                  practical utility; (b) Evaluate the                     comprehensive and medically accurate                  intervention group will spend more
                                                  accuracy of the agencies estimate of the                mobile application, titled Crush, in                  time using media features than text-
                                                  burden of the proposed collection of                    increasing adolescent girls’                          based content.
                                                  information, including the validity of                  contraception use and clinic visitation                  All information will be collected
                                                  the methodology and assumptions used;                   for sexual and reproductive health                    electronically. This study will collect
                                                  (c) Enhance the quality, utility, and                   services. The information disseminated                data through two mechanisms: (1) Self-
                                                  clarity of the information to be                        via Crush is similar to the sexual health             administered online surveys, and (2) the
                                                  collected; (d) Minimize the burden of                   information youth can access via other                Crush enrollment database. Interested
                                                  the collection of information on those                  Web sites, sexual health promotion                    participants will initially complete
                                                  who are to respond, including through                   educational materials or in clinics.                  screening questions to confirm their
                                                  the use of appropriate automated,                          The study will randomize a sample of               eligibility. CDC estimates that 3,000
                                                  electronic, mechanical, or other                        1,200 girls, ages 14–18 years, into two               respondents will be screened in order to
                                                  technological collection techniques or                  groups: the intervention group and the                reach the target number of 1,200
                                                  other forms of information technology,                  control group. The intervention group                 enrolled study participants. Information
                                                  e.g., permitting electronic submission of               will have access to Crush and will                    collection for enrolled participants
                                                  responses; and (e) Assess information                   receive weekly sexual health                          consists of three self-administered
                                                  collection costs.                                       information via text to their phones for              online surveys at conduct at baseline,
                                                     To request additional information on                 six months. The control group will have               three months after baseline, and six
                                                  the proposed project or to obtain a copy                access to a fitness mobile application                months after baseline. Survey questions
                                                  of the information collection plan and                  (‘‘app’’) and will receive general health             will assess behavior, attitudes, social
                                                  instruments, call (404) 639–7570 or                     information via text to their phones for              norms about sexual behavior,
                                                  send an email to omb@cdc.gov. Written                   six months. Participants are expected to              contraception use and clinic utilization,
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                                                  comments and/or suggestions regarding                   access either app frequently throughout               and satisfaction with Crush.
                                                  the items contained in this notice                      a six month period. As part of the                       The mobile response surveys will be
                                                  should be directed to the Attention:                    analysis, sexual behavior and key                     sent to participants via text message
                                                  CDC Desk Officer, Office of Management                  psychosocial factors will be assessed at              which they can complete on a
                                                  and Budget, Washington, DC 20503 or                     three points in time: at baseline, and at             smartphone. The estimated burden per
                                                  by fax to (202) 395–5806. Written                       three- and six-month follow-ups.                      response is 5–15 minutes. Survey
                                                  comments should be received within 30                      Efficacy testing will respond to the               responses will be matched by each
                                                  days of this notice.                                    following research questions:                         participant’s unique identifying


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                                                                                     Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices                                                            8963

                                                  number. Each participant will receive                              interactive features will not be stored in                      objective and quantifiable measure that
                                                  up to two survey reminders starting one                            the system. The database only collects                          tracks and records participants’
                                                  week after the initial survey link is sent,                        web analytics data about page visits and                        exposure to Crush. This study
                                                  for two consecutive weeks. There are                               duration of each visit by User                                  component does not entail any response
                                                  minor differences in survey content for                            Identification (ID) and Internet Protocol                       burden to participants.
                                                  the control and intervention groups.                               (IP) address. Web analytics will only be                           Findings will be used to inform the
                                                    Each participant will create a profile                           collected from participants navigating
                                                  in the database upon enrollment. This                                                                                              development and delivery of effective
                                                                                                                     Crush and only when they are logged in                          health communications.
                                                  database will collect initial
                                                                                                                     as users. Web analytics are generated for                          OMB approval is requested for one
                                                  demographic and contact information,
                                                                                                                     any Web site and are a standard                                 year. Participation is voluntary and
                                                  informed consent signatures, and
                                                  information about the participant’s                                evaluation mechanism for assessing the                          there are no costs to respondents other
                                                  navigation pattern through Crush. Any                              traffic patterns on Web pages. This                             than their time. The total estimated
                                                  information entered directly into Crush                            technology permits development of an                            annualized burden hours are 802.
                                                                                                                    ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                      Number of     Avg. burden
                                                                                                                                                                                     Number of
                                                                   Type of respondents                                                    Form name                                                 responses per   per response
                                                                                                                                                                                    respondents       respondent      (in hrs.)

                                                  Girls 14–18 years old ......................................      Screener Questions .......................................             3,000                1           1/60
                                                                                                                    Enrollment Questions .....................................             1,200                1           5/60
                                                  Intervention Group ..........................................     Baseline Survey .............................................            600                1          15/60
                                                                                                                    3-Month Survey ..............................................            480                1          10/60
                                                                                                                    6-Month Survey ..............................................            384                1          15/60
                                                  Control Group .................................................   Baseline Survey .............................................            600                1          15/60
                                                                                                                    3-Month Survey ..............................................            480                1          10/60
                                                                                                                    6-Month Survey ..............................................            384                1          15/60



                                                  Leroy A. Richardson,                                               coding and payment determinations.                                Deadlines for Primary Speaker
                                                  Chief, Information Collection Review Office,                       The discussion will be focused on                               Registration and Presentation Materials:
                                                  Office of Scientific Integrity, Office of the                      responses to our specific preliminary                           The deadline for registering to be a
                                                  Associate Director for Science, Office of the                      recommendations and will include all                            primary speaker and submitting
                                                  Director, Centers for Disease Control and                          items on the public meeting agenda. As                          materials and writings that will be used
                                                  Prevention.
                                                                                                                     indicated in this notice, we are                                in support of an oral presentation are as
                                                  [FR Doc. 2016–03687 Filed 2–22–16; 8:45 am]
                                                                                                                     reorganizing public meeting content                             follows:
                                                  BILLING CODE 4163–18–P                                             under two main headings: (1) Drugs/                               • May 3, 2016 for the May 17, 2016,
                                                                                                                     Biologics, Radiopharmaceuticals/                                May 18, 2016 and May 19, 2016 public
                                                                                                                     Radiologic Imaging Agents, and (2)                              meetings.
                                                  DEPARTMENT OF HEALTH AND                                                                                                             • May 18, 2016 for the June 1, 2016
                                                                                                                     Durable Medical Equipment (DME) and
                                                  HUMAN SERVICES                                                                                                                     and June 2, 2016 public meetings.
                                                                                                                     Accessories; Orthotics and Prosthetics
                                                  Centers for Medicare & Medicaid                                    (O & P); Supplies and Other.                                      Registration Deadline for Attendees
                                                  Services                                                           DATES: Meeting Dates: The following are
                                                                                                                                                                                     that are Foreign Nationals: All Foreign
                                                                                                                     the 2016 HCPCS public meeting dates:                            National visitors must present a valid
                                                  [CMS–1637–N]                                                                                                                       passport as proof of identification.
                                                                                                                        1. Tuesday, May 17, 2016, 9:00 a.m.
                                                                                                                                                                                     Attendees that are foreign nationals (as
                                                  Medicare Program; Public Meetings in                               to 5:00 p.m., eastern daylight time
                                                                                                                                                                                     described in section IV. of this notice)
                                                  Calendar Year 2016 for All New Public                              (e.d.t.) (Drugs/Biologicals,
                                                                                                                                                                                     are required to identify themselves as
                                                  Requests for Revisions to the                                      Radiopharmaceuticals/Radiologic
                                                                                                                                                                                     such, and provide the necessary
                                                  Healthcare Common Procedure Coding                                 Imaging Agents).
                                                                                                                                                                                     information for security clearance (as
                                                  System (HCPCS) Coding and Payment                                     2. Wednesday, May 18, 2016, 9:00                             described in section IV. of this notice)
                                                  Determinations                                                     a.m. to 5:00 p.m., e.d.t. (Drugs/                               to the public meeting coordinator at
                                                                                                                     Biologicals, Radiopharmaceuticals/                              least 21 business days in advance of the
                                                  AGENCY: Centers for Medicare &
                                                                                                                     Radiologic Imaging Agents).                                     date of the public meeting the
                                                  Medicaid Services (CMS), HHS.
                                                                                                                        3. Thursday, May 19, 2016, 9:00 a.m.                         individual plans to attend. Therefore,
                                                  ACTION: Notice.
                                                                                                                     to 5:00 p.m., e.d.t. (Drugs/Biologicals,                        the registration deadlines for attendees
                                                  SUMMARY:   This notice announces the                               Radiopharmaceuticals/Radiologic                                 that are foreign nationals are as follows:
                                                  dates, time, and location of the                                   Imaging Agents).                                                  • April 28, 2016 for the May 17, 2016,
                                                  Healthcare Common Procedure Coding                                    4. Wednesday, June 1, 2016, 9:00 a.m.                        May 18, 2016 and May 19, 2016 public
                                                  System (HCPCS) public meetings to be                               to 5:00 p.m., e.d.t. (Durable Medical                           meetings.
                                                                                                                     Equipment (DME) and Accessories;                                  • May 12, 2016 for the June 1, 2016
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                                                  held in calendar year 2016 to discuss
                                                  our preliminary coding and payment                                 Orthotics and Prosthetics (O & P);                              and June 2, 2016 public meetings.
                                                  determinations for all new public                                  Supplies and Other).                                              Registration Deadlines for all Other
                                                  requests for revisions to the HCPCS.                                  5. Thursday, June 2, 2016, 9:00 a.m.                         Attendees: All individuals who are not
                                                  These meetings provide a forum for                                 to 5:00 p.m., e.d.t. (Durable Medical                           foreign nationals who plan to enter the
                                                  interested parties to make oral                                    Equipment (DME) and Accessories;                                building to attend the public meeting
                                                  presentations or to submit written                                 Orthotics and Prosthetics (O & P);                              must register for each date that they
                                                  comments in response to preliminary                                Supplies and Other).                                            plan on attending. The registration


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Document Created: 2018-02-02 14:33:49
Document Modified: 2018-02-02 14:33:49
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation81 FR 8962 

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