82_FR_12397 82 FR 12357 - Proposed Data Collection Submitted for Public Comment and Recommendations

82 FR 12357 - Proposed Data Collection Submitted for Public Comment and Recommendations

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

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

Page Range12357-12358
FR Document2017-04044

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 proposed information collection project titled ``Assessing the Infrastructure for Public Sexually Transmitted Disease (STD) Prevention Services.'' The primary goal of this study is to periodically monitor (i.e., every 3 years) STD preventive and treatment services provided by local and state health departments. This will allow CDC to understand the delivery of timely public STD preventive and treatment services to reduce the number of newly acquired STDs and prevent STD-related sequelae.

Federal Register, Volume 82 Issue 40 (Thursday, March 2, 2017)
[Federal Register Volume 82, Number 40 (Thursday, March 2, 2017)]
[Notices]
[Pages 12357-12358]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04044]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17NS; Docket No. CDC-2017-0009]


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 proposed 
information collection project titled ``Assessing the Infrastructure 
for Public Sexually Transmitted Disease (STD) Prevention Services.'' 
The primary goal of this study is to periodically monitor (i.e., every 
3 years) STD preventive and treatment services provided by local and 
state health departments. This will allow CDC to understand the 
delivery of timely public STD preventive and treatment services to 
reduce the number of newly acquired STDs and prevent STD-related 
sequelae.

DATES: Written comments must be received on or before May 1, 2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0009 by any of the following methods:
     Federal eRulemaking Portal: Regulations.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

[[Page 12358]]

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

    Assessing the Infrastructure for Public Sexually Transmitted 
Disease (STD) Prevention Services--NEW--National Center for HIV/AIDS, 
Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    A significant percentage of reported cases of STDs are diagnosed in 
publicly funded clinics, such as STD clinics. Specifically, past 
research has shown that a substantial proportion of HIV (10% or more), 
primary and secondary syphilis (14%-48%), gonorrhea (13%-41%), and 
chlamydia (6%-28%) are diagnosed in public STD clinics. These public 
clinics often serve uninsured and under insured populations. The 
Congressional Budget Office estimates 10% of the nonelderly population 
will remain uninsured in the US through 2023. Additionally, over half 
of patients who visit STD clinics cited low cost as a reason for 
choosing STD clinics for care in a 1995 survey. Because a continued 
role for STD clinics is likely to exist as a safety net while the US 
healthcare market evolves, understanding the current level of STD 
services, funding, and staffing levels is important. No recent 
published studies have provided this information on a national scale.
    A 2012 conference presentation noted the experience of one state, 
which stopped funding for STD clinics in 2009. A 2013 national survey 
of local health departments (LHDs) found gaps and reductions in public 
STD services, including in clinical services that are important to 
reduce disease transmission. The study also found that STD programs in 
local and state health departments (SHDs) often provide HIV services 
such as HIV field testing of STD contacts and surveillance activities. 
However, there is no national survey that periodically collects 
detailed information on STD practices of physicians who typically see 
STD patients.
    Given the changing US healthcare system and reductions in public 
health funding, it is important to periodically assess the current 
level of publicly-funded STD prevention services that are offered by 
health departments in the US. The mission of the STD prevention at CDC 
is ``to provide national leadership, research, policy development, and 
scientific information to help people live safer, healthier lives by 
the prevention of STDs and their complications.'' A major component of 
this objective is delivering timely STD preventive and treatment 
services to reduce the number of newly acquired STDs and prevent STD-
related sequelae. The Division of Sexually Transmitted Diseases 
Prevention (DSTDP) at CDC is seeking a three-year approval from the OMB 
to conduct a new information collection. This assessment would allow 
CDC to periodically monitor STD preventive and treatment services 
provided by local and state health departments.
    Information collected will include STD program structure, public 
STD clinical services, STD partner services, other STD prevention 
services such as surveillance and health promotion, and STD program 
workforce and impact of budget cuts on STD services.
    The web survey will be sent by email to a sample of local health 
departments and all state health departments (with two reminder 
letters).
    There is no cost to respondents.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
STD program director, LHDs....  LHD survey......             334               1           19/60             106
STD program director, SHDs....  SHD survey......              44               1           19/60              14
                                                 ---------------------------------------------------------------
    Total Annual Burden Hours.  ................  ..............  ..............  ..............             120
----------------------------------------------------------------------------------------------------------------


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. 2017-04044 Filed 3-1-17; 8:45 am]
BILLING CODE 4163-18-P



                                                                              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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                                                12358                         Federal Register / Vol. 82, No. 40 / Thursday, March 2, 2017 / Notices

                                                publishing this notice of a proposed                        Center for HIV/AIDS, Viral Hepatitis,                                         contacts and surveillance activities.
                                                data collection as described below.                         STD, and TB Prevention (NCHHSTP),                                             However, there is no national survey
                                                   Comments are invited on: (a) Whether                     Centers for Disease Control and                                               that periodically collects detailed
                                                the proposed collection of information                      Prevention (CDC).                                                             information on STD practices of
                                                is necessary for the proper performance                                                                                                   physicians who typically see STD
                                                                                                            Background and Brief Description
                                                of the functions of the agency, including                                                                                                 patients.
                                                whether the information shall have                             A significant percentage of reported                                          Given the changing US healthcare
                                                practical utility; (b) the accuracy of the                  cases of STDs are diagnosed in publicly                                       system and reductions in public health
                                                agency’s estimate of the burden of the                      funded clinics, such as STD clinics.                                          funding, it is important to periodically
                                                proposed collection of information; (c)                     Specifically, past research has shown                                         assess the current level of publicly-
                                                ways to enhance the quality, utility, and                   that a substantial proportion of HIV                                          funded STD prevention services that are
                                                clarity of the information to be                            (10% or more), primary and secondary                                          offered by health departments in the US.
                                                collected; (d) ways to minimize the                         syphilis (14%–48%), gonorrhea (13%–                                           The mission of the STD prevention at
                                                burden of the collection of information                     41%), and chlamydia (6%–28%) are                                              CDC is ‘‘to provide national leadership,
                                                on respondents, including through the                       diagnosed in public STD clinics. These                                        research, policy development, and
                                                use of automated collection techniques                      public clinics often serve uninsured and                                      scientific information to help people
                                                or other forms of information                               under insured populations. The                                                live safer, healthier lives by the
                                                technology; and (e) estimates of capital                    Congressional Budget Office estimates                                         prevention of STDs and their
                                                or start-up costs and costs of operation,                   10% of the nonelderly population will                                         complications.’’ A major component of
                                                maintenance, and purchase of services                       remain uninsured in the US through                                            this objective is delivering timely STD
                                                to provide information. Burden means                        2023. Additionally, over half of patients                                     preventive and treatment services to
                                                the total time, effort, or financial                        who visit STD clinics cited low cost as                                       reduce the number of newly acquired
                                                resources expended by persons to                            a reason for choosing STD clinics for                                         STDs and prevent STD-related sequelae.
                                                generate, maintain, retain, disclose or                     care in a 1995 survey. Because a                                              The Division of Sexually Transmitted
                                                provide information to or for a Federal                     continued role for STD clinics is likely                                      Diseases Prevention (DSTDP) at CDC is
                                                agency. This includes the time needed                       to exist as a safety net while the US                                         seeking a three-year approval from the
                                                to review instructions; to develop,                         healthcare market evolves,                                                    OMB to conduct a new information
                                                acquire, install and utilize technology                     understanding the current level of STD                                        collection. This assessment would allow
                                                and systems for the purpose of                              services, funding, and staffing levels is                                     CDC to periodically monitor STD
                                                collecting, validating and verifying                        important. No recent published studies                                        preventive and treatment services
                                                information, processing and                                 have provided this information on a                                           provided by local and state health
                                                maintaining information, and disclosing                     national scale.                                                               departments.
                                                and providing information; to train                            A 2012 conference presentation noted                                          Information collected will include
                                                personnel and to be able to respond to                      the experience of one state, which                                            STD program structure, public STD
                                                a collection of information, to search                      stopped funding for STD clinics in                                            clinical services, STD partner services,
                                                data sources, to complete and review                        2009. A 2013 national survey of local                                         other STD prevention services such as
                                                the collection of information; and to                       health departments (LHDs) found gaps                                          surveillance and health promotion, and
                                                transmit or otherwise disclose the                          and reductions in public STD services,                                        STD program workforce and impact of
                                                information.                                                including in clinical services that are                                       budget cuts on STD services.
                                                                                                            important to reduce disease                                                      The web survey will be sent by email
                                                Proposed Project                                            transmission. The study also found that                                       to a sample of local health departments
                                                  Assessing the Infrastructure for Public                   STD programs in local and state health                                        and all state health departments (with
                                                Sexually Transmitted Disease (STD)                          departments (SHDs) often provide HIV                                          two reminder letters).
                                                Prevention Services—NEW—National                            services such as HIV field testing of STD                                        There is no cost to respondents.

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

                                                STD program director, LHDs ............      LHD survey ......................................                              334                             1                  19/60                 106
                                                STD program director, SHDs ............      SHD survey ......................................                               44                             1                  19/60                  14

                                                     Total Annual Burden Hours .......       ...........................................................   ........................   ........................   ........................            120



                                                Leroy A. Richardson,
                                                Chief, Information Collection Review Office,
                                                Office of Scientific Integrity, Office of the
                                                Associate Director for Science, Office of the
sradovich on DSK3GMQ082PROD with NOTICES




                                                Director, Centers for Disease Control and
                                                Prevention.
                                                [FR Doc. 2017–04044 Filed 3–1–17; 8:45 am]
                                                BILLING CODE 4163–18–P




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Document Created: 2017-03-02 00:09:25
Document Modified: 2017-03-02 00:09:25
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
ActionNotice with comment period.
DatesWritten comments must be received on or before May 1, 2017.
ContactTo 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 Citation82 FR 12357 

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