82 FR 12356 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 82, Issue 40 (March 2, 2017)

Page Range		12356-12357
FR Document		2017-04043
Federal Register, Volume 82 Issue 40 (Thursday, March 2, 2017)
[Federal Register Volume 82, Number 40 (Thursday, March 2, 2017)]
[Notices]
[Pages 12356-12357]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04043]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-17-16AWP]


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

    Women's Preventive Health Services Study--New--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    The National Breast and Cervical Cancer Early Detection Program 
(NBCCEDP) provides free or low-cost breast and cervical cancer 
screening and diagnostic services to low-income, uninsured, and 
underserved women. The NBCCEDP is an organized screening program with a 
full complement of services including outreach and patient education, 
patient navigation, case management, professional development, and 
tracking and follow-up that contribute to the program's success. 
Compared to when the NBCCEDP was established, more women are eligible 
for insurance coverage but there are still many women who are not 
insured and many insured women not obtaining preventive services that 
they are eligible to receive. Currently, the NBCCEDP not only provides 
screening services to uninsured and underinsured, but has expanded its 
services to include population-based activities that prevent missed 
opportunities and ensure that all women receive appropriate breast and 
cervical cancer screening.
    Previous research suggests that access to health care through 
insurance alone does not ensure adherence to cancer screening, as many 
individual, cultural, and community factors serve as barriers to 
preventive service use. With recent increases in the numbers of women 
who are insured, there is a need to understand the experiences of women 
who had been served by the NBCCEDP and become newly insured. This 
project will inform the development of future activities of the NBCCEDP 
so that all women receive the information and support services needed 
for obtaining clinical preventive services.
    The purpose of this project is to examine the facilitators and 
barriers to receiving clinical preventive services among newly insured 
medically underserved women who had previously been served by the 
NBCCEDP. The Women's Preventive Services Study aims to survey newly 
insured women about what clinical preventive health services they 
receive, what barriers and facilitators they experience, and their 
ability to maintain consistent health insurance coverage.
    While having newly acquired health insurance will improve access to 
preventive services, insurance coverage alone would not result in 
improved clinical preventive services utilization for all women, 
especially among underserved populations. This project proposes to 
follow a group of women previously served by the NBCCEDP over three 
years by administering a yearly questionnaire.
    This study will focus on the following research questions:
    1. What are the insurance coverage patterns (e.g., public or 
private insurance) for a sample of medically underserved women 
previously screened through the NBCCEDP?
    2. What barriers and facilitators do these women face in enrolling 
in new insurance coverage?
    3. What preventive health services, including cancer screening, do 
these women receive?
    4. What barriers and facilitators do these women face in accessing

[[Page 12357]]

preventive health services through their new coverage?
    5. What are the non-financial and financial costs to these women?
    The respondents will be uninsured or underinsured women who 
previously had been screened through the NBCCEDP but now have health 
insurance coverage. To be potentially eligible for the study, women 
must be between the ages of 30-62 years, a U.S. Citizen or U.S. 
permanent resident, resident of the state where they received NBCCEDP 
services, and English or Spanish speaking. Additionally, women must 
meet one of the prior screening criteria: (1) Having received a Pap 
test through a NBCCEDP state program not less than 1 year but not more 
than four years from the time of study implementation OR (2) received a 
Pap/HPV co-test through a NBCCEDP grantee not less than three years but 
not more than 5 years from the time of study implementation OR (3) 
received a mammogram through a NBCCEDP grantee not less than one year 
but not more than three years from the time of study implementation.
    NBCCEDP state programs will identify potentially eligible women and 
consent the women to have their contact information shared for the 
study. The women who agree will receive an invitation letter to 
participate in the study through an on-line survey. The first step of 
the on-line survey will be a set of screener questions to determine 
whether they have insurance coverage. Only those who currently have 
insurance will be eligible to continue with the main survey instrument. 
Women who complete the survey will be asked to repeat the survey 
annually the next 2 years.
    The sample design proposes that 14,240 women be identified as 
eligible. We estimate that 80% will be contacted and agree to 
participate. Of that, we expect 9,683 completed on-line screenings to 
occur during year one, representing an annualized 3,288 respondents. 
With an 85% expected completion rate and annual attrition, we estimate 
that 3,292 surveys will be completed in Year 1; 2,222 completed surveys 
in Year 2; and 1,500 completed surveys in Year 3. This represents an 
annualized 2,338 respondents for the survey.
    Participation is voluntary. There are no costs to respondents other 
than their time. The total estimated annual burden hours are 1,243.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                  Average burden
         Type of respondents                   Form name             Number of     Responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Women aged 30-62 who previously        Screener.................           3,228               1            5/60
 received services in the NBCCEDP.     Survey...................           2,338               1           25/60
----------------------------------------------------------------------------------------------------------------


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. 2017-04043 Filed 3-1-17; 8:45 am]
BILLING CODE 4163-18-P
12356 Federal Register / Vol. 82, No. 40 / Thursday, March 2, 2017 / Notices

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

Employers ......................................... CDC Worksite Health Scorecard ..... 800 1 75/60 1,000
CDC Worksite Health Scorecard 32 1 1 32
Cognitive interview.
CDC Worksite Health Scorecard 200 1 5/60 17
Pilot evaluation.

Total ........................................... ........................................................... ........................ ........................ ........................ 1,049

Leroy A. Richardson, e.g., permitting electronic submission of does not ensure adherence to cancer
Chief, Information Collection Review Office, responses; and (e) Assess information screening, as many individual, cultural,
Office of Scientific Integrity, Office of the collection costs. and community factors serve as barriers
Associate Director for Science, Office of the To request additional information on to preventive service use. With recent
Director, Centers for Disease Control and the proposed project or to obtain a copy increases in the numbers of women who
Prevention. of the information collection plan and are insured, there is a need to
[FR Doc. 2017–04042 Filed 3–1–17; 8:45 am] instruments, call (404) 639–7570 or understand the experiences of women
BILLING CODE 4163–18–P send an email to omb@cdc.gov. Written who had been served by the NBCCEDP
comments and/or suggestions regarding and become newly insured. This project
the items contained in this notice will inform the development of future
DEPARTMENT OF HEALTH AND should be directed to the Attention: activities of the NBCCEDP so that all
HUMAN SERVICES CDC Desk Officer, Office of Management women receive the information and
and Budget, Washington, DC 20503 or support services needed for obtaining
Centers for Disease Control and
by fax to (202) 395–5806. Written clinical preventive services.
Prevention
comments should be received within 30 The purpose of this project is to
[30Day–17–16AWP] days of this notice. examine the facilitators and barriers to
Proposed Project receiving clinical preventive services
Agency Forms Undergoing Paperwork among newly insured medically
Reduction Act Review Women’s Preventive Health Services underserved women who had
Study—New—National Center for previously been served by the
The Centers for Disease Control and Chronic Disease Prevention and Health
Prevention (CDC) has submitted the NBCCEDP. The Women’s Preventive
Promotion (NCCDPHP), Centers for Services Study aims to survey newly
following information collection request Disease Control and Prevention (CDC).
to the Office of Management and Budget insured women about what clinical
(OMB) for review and approval in Background and Brief Description preventive health services they receive,
accordance with the Paperwork what barriers and facilitators they
The National Breast and Cervical
Reduction Act of 1995. The notice for experience, and their ability to maintain
Cancer Early Detection Program
the proposed information collection is consistent health insurance coverage.
(NBCCEDP) provides free or low-cost
published to obtain comments from the breast and cervical cancer screening and While having newly acquired health
public and affected agencies. diagnostic services to low-income, insurance will improve access to
Written comments and suggestions uninsured, and underserved women. preventive services, insurance coverage
from the public and affected agencies The NBCCEDP is an organized screening alone would not result in improved
concerning the proposed collection of program with a full complement of clinical preventive services utilization
information are encouraged. Your services including outreach and patient for all women, especially among
comments should address any of the education, patient navigation, case underserved populations. This project
following: (a) Evaluate whether the management, professional development, proposes to follow a group of women
proposed collection of information is and tracking and follow-up that previously served by the NBCCEDP over
necessary for the proper performance of contribute to the program’s success. three years by administering a yearly
the functions of the agency, including Compared to when the NBCCEDP was questionnaire.
whether the information will have established, more women are eligible for This study will focus on the following
practical utility; (b) Evaluate the insurance coverage but there are still research questions:
accuracy of the agencies’ estimate of the many women who are not insured and 1. What are the insurance coverage
burden of the proposed collection of many insured women not obtaining patterns (e.g., public or private
information, including the validity of preventive services that they are eligible insurance) for a sample of medically
the methodology and assumptions used; to receive. Currently, the NBCCEDP not underserved women previously
(c) Enhance the quality, utility, and only provides screening services to screened through the NBCCEDP?
clarity of the information to be 2. What barriers and facilitators do
sradovich on DSK3GMQ082PROD with NOTICES

uninsured and underinsured, but has
collected; (d) Minimize the burden of expanded its services to include these women face in enrolling in new
the collection of information on those population-based activities that prevent insurance coverage?
who are to respond, including through missed opportunities and ensure that all 3. What preventive health services,
the use of appropriate automated, women receive appropriate breast and including cancer screening, do these
electronic, mechanical, or other cervical cancer screening. women receive?
technological collection techniques or Previous research suggests that access 4. What barriers and facilitators do
other forms of information technology, to health care through insurance alone these women face in accessing

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Federal Register / Vol. 82, No. 40 / Thursday, March 2, 2017 / Notices 12357

preventive health services through their not less than three years but not more be asked to repeat the survey annually
new coverage? than 5 years from the time of study the next 2 years.
5. What are the non-financial and implementation OR (3) received a The sample design proposes that
financial costs to these women? mammogram through a NBCCEDP 14,240 women be identified as eligible.
The respondents will be uninsured or grantee not less than one year but not We estimate that 80% will be contacted
underinsured women who previously more than three years from the time of
had been screened through the and agree to participate. Of that, we
study implementation. expect 9,683 completed on-line
NBCCEDP but now have health
insurance coverage. To be potentially NBCCEDP state programs will identify screenings to occur during year one,
eligible for the study, women must be potentially eligible women and consent representing an annualized 3,288
between the ages of 30–62 years, a U.S. the women to have their contact respondents. With an 85% expected
Citizen or U.S. permanent resident, information shared for the study. The completion rate and annual attrition, we
resident of the state where they received women who agree will receive an estimate that 3,292 surveys will be
NBCCEDP services, and English or invitation letter to participate in the completed in Year 1; 2,222 completed
Spanish speaking. Additionally, women study through an on-line survey. The surveys in Year 2; and 1,500 completed
must meet one of the prior screening first step of the on-line survey will be surveys in Year 3. This represents an
criteria: (1) Having received a Pap test a set of screener questions to determine annualized 2,338 respondents for the
through a NBCCEDP state program not whether they have insurance coverage. survey.
less than 1 year but not more than four Only those who currently have Participation is voluntary. There are
years from the time of study insurance will be eligible to continue no costs to respondents other than their
implementation OR (2) received a Pap/ with the main survey instrument. time. The total estimated annual burden
HPV co-test through a NBCCEDP grantee Women who complete the survey will hours are 1,243.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Responses
Number of burden per
Type of respondents Form name per
respondents response
respondent (in hours)

Women aged 30–62 who previously received services in the NBCCEDP ....... Screener ...... 3,228 1 5/60
Survey ......... 2,338 1 25/60

Leroy A. Richardson, required by the Paperwork Reduction access to the docket to read background
Chief, Information Collection Review Office, Act of 1995. This notice invites documents or comments received, go to
Office of Scientific Integrity, Office of the comment on the proposed information Regulations.gov.
Associate Director for Science, Office of the collection project titled ‘‘Assessing the Please note: All public comment should be
Director, Centers for Disease Control and Infrastructure for Public Sexually submitted through the Federal eRulemaking
Prevention. Transmitted Disease (STD) Prevention portal (Regulations.gov) or by U.S. mail to the
[FR Doc. 2017–04043 Filed 3–1–17; 8:45 am] Services.’’ The primary goal of this address listed above.
BILLING CODE 4163–18–P study is to periodically monitor (i.e., FOR FURTHER INFORMATION CONTACT: To
every 3 years) STD preventive and request more information on the
treatment services provided by local and proposed project or to obtain a copy of
DEPARTMENT OF HEALTH AND state health departments. This will
HUMAN SERVICES the information collection plan and
allow CDC to understand the delivery of instruments, contact the Information
Centers for Disease Control and timely public STD preventive and Collection Review Office, Centers for
Prevention treatment services to reduce the number Disease Control and Prevention, 1600
of newly acquired STDs and prevent Clifton Road NE., MS–D74, Atlanta,
[60Day–17–17NS; Docket No. CDC–2017– STD-related sequelae. Georgia 30329; phone: 404–639–7570;
0009] DATES: Written comments must be Email: omb@cdc.gov.
received on or before May 1, 2017. SUPPLEMENTARY INFORMATION: Under the
Proposed Data Collection Submitted
ADDRESSES: You may submit comments, Paperwork Reduction Act of 1995 (PRA)
for Public Comment and
identified by Docket No. CDC–2017– (44 U.S.C. 3501–3520), Federal agencies
Recommendations
0009 by any of the following methods: must obtain approval from the Office of
AGENCY: Centers for Disease Control and • Federal eRulemaking Portal: Management and Budget (OMB) for each
Prevention (CDC), Department of Health Regulations.gov. Follow the instructions collection of information they conduct
and Human Services (HHS). for submitting comments. or sponsor. In addition, the PRA also
ACTION: Notice with comment period. • Mail: Leroy A. Richardson, requires Federal agencies to provide a
Information Collection Review Office, 60-day notice in the Federal Register
SUMMARY: The Centers for Disease Centers for Disease Control and concerning each proposed collection of
Control and Prevention (CDC), as part of Prevention, 1600 Clifton Road NE., MS– information, including each new
sradovich on DSK3GMQ082PROD with NOTICES

its continuing efforts to reduce public D74, Atlanta, Georgia 30329. proposed collection, each proposed
burden and maximize the utility of Instructions: All submissions received extension of existing collection of
government information, invites the must include the agency name and information, and each reinstatement of
general public and other Federal Docket Number. All relevant comments previously approved information
agencies to take this opportunity to received will be posted without change collection before submitting the
comment on proposed and/or to Regulations.gov, including any collection to OMB for approval. To
continuing information collections, as personal information provided. For comply with this requirement, we are

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Document Created: 2017-03-02 00:09:15
Document Modified: 2017-03-02 00:09:15
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
FR Citation		82 FR 12356
82 FR 12356 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 82, Issue 40 (March 2, 2017)

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