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)

[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