82_FR_27948 82 FR 27832 - Proposed Data Collection Submitted for Public Comment and Recommendations

82 FR 27832 - 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 116 (June 19, 2017)

Page Range27832-27833
FR Document2017-12736

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 a proposed information collection entitled ``Evaluation of Medication-Assisted Treatment (MAT) for Opioid use disorder.'' CDC will use the collection to conduct an epidemiologic study to assess the type of MAT (methadone maintenance; buprenorphine; naltrexone; or, counseling, no MAT), and the contextual, provider, and individual factors that influence implementation and improved patient wellbeing over a two-year follow up period.

Federal Register, Volume 82 Issue 116 (Monday, June 19, 2017)
[Federal Register Volume 82, Number 116 (Monday, June 19, 2017)]
[Notices]
[Pages 27832-27833]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12736]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17ACE; Docket No. CDC-2017-0043]


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 a proposed 
information collection entitled ``Evaluation of Medication-Assisted 
Treatment (MAT) for Opioid use disorder.'' CDC will use the collection 
to conduct an epidemiologic study to assess the type of MAT (methadone 
maintenance; buprenorphine; naltrexone; or, counseling, no MAT), and 
the contextual, provider, and individual factors that influence 
implementation and improved patient wellbeing over a two-year follow up 
period.

DATES: Written comments must be received on or before August 18, 2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0043 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 Leroy A. Richardson, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road, NE., MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services 
to provide information. Burden means the total time, effort, or 
financial resources expended by persons to generate, maintain, retain, 
disclose or provide information to or for a Federal agency. This 
includes the time needed to review instructions; to develop, acquire, 
install and utilize technology

[[Page 27833]]

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

    Evaluation of Medication-Assisted Treatment (MAT) for Opioid use 
disorder--New--National Center for Injury Prevention and Control 
(NCIPC), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CDC seeks a three-year OMB approval to collect evaluation 
information for Medication-Assisted Treatment (MAT) for Opioid use 
disorder.
    About 2.4 million people aged 18 or older have opioid use disorders 
(OUDs) in the United States. At any given time, only half of these 
people receive some form of treatment, which may include medication-
assisted treatment (MAT) or abstinence-based psychotherapy or self-help 
treatments (i.e., counseling without medication [COUN]). The rise in 
opioid overdose deaths, up from 2014-2015 due partly to a 72% rise in 
synthetic opioid overdose deaths alone, shows that engaging and 
retaining clients in OUD treatment is an urgent public health need. 
Only a few studies are available to help clients and providers make 
informed decisions about the risks and benefits associated with the 
different types of MATs. This information is crucial because even 
though each MAT drug helps prevent withdrawal symptoms and decreases 
cravings, differences in treatment approach and settings influence how 
people respond to the medication and, thus, their long-term treatment 
success.
    The purpose of this evaluation is to conduct an epidemiologic, 
mixed-methods evaluation of OUD treatment in real-world outpatient 
settings. The study aims to have 3,000 participants from real-world 
outpatient settings to better understand the relationship between type 
of MAT and individual, provider, and contextual characteristics related 
to retention in treatment and abstinence from opioid use. The sites 
will be located across 10 diverse metropolitan statistical areas (MSAs) 
with four sites in each MSA. At each site, about 75 participants are 
expected to participate for a total of 300 per MSA. Across all MSAs, 
the study will aim to have 750 client participants in each of the four 
treatment conditions (MMT, BUP, NAL, and COUN).
    The study will use a mixed-method approach using quantitative 
methods such as multilevel latent growth models, propensity score 
matching, latent class analysis and advance mediation analysis and 
qualitative methods such as interactive coding and analysis for common 
themes. The only cost to respondents will be time spent responding to 
the survey/screener.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents        Instrument name     Number of     responses per   per response    Total burden
                                                    respondents     respondent        (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
Provider site staff...........  Client                        15             100            5/60             125
                                 Permission Form.
                                Visit Form......              15             525           10/60           1,313
                                Site Director                 15               2               1              30
                                 Questionnaire.
                                Focus Groups....              27               1           90/60              41
Client respondents............  Client Screener.           1,333               1            5/60             111
                                Client Check-in.           1,000               2           15/60             500
                                Client                     2,412               1           49/60           1,978
                                 Questionnaire.
                                Focus Groups....              27               1           90/60              41
    Total.....................                                                                             4,139
----------------------------------------------------------------------------------------------------------------


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. 2017-12736 Filed 6-16-17; 8:45 am]
BILLING CODE 4163-18-P



                                                    27832                          Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices

                                                      DGMQ will review a permit                             Reduction Act (44 U.S.C. 3507) and                     Docket Number. All relevant comments
                                                    application within 3–5 business days of                 assigned the following OMB control                     received will be posted without change
                                                    receiving the application and apply the                 number: Foreign Quarantine: OMB                        to Regulations.gov, including any
                                                    criteria in Federal Register notice                     Control No. 0920–0134, expiration date                 personal information provided. For
                                                    published at 79 FR 39403 (July 20,                      5/31/2019.                                             access to the docket to read background
                                                    2014). If the application is approved, a                  Dated: June 12, 2017.                                documents or comments received, go to
                                                    permit will be emailed to the dog’s                     Sandra Cashman,                                        Regulations.gov.
                                                    owner. The owner must present the                                                                                Please note: All public comment should be
                                                                                                            Executive Secretary, Centers for Disease
                                                    permit to the Customs and Border                        Control and Prevention.                                submitted through the Federal eRulemaking
                                                    Protection (CBP) officer at the first                                                                          portal (Regulations.gov) or by U.S. mail to the
                                                                                                            [FR Doc. 2017–12439 Filed 6–16–17; 8:45 am]
                                                    arriving port of entry into the United                                                                         address listed above.
                                                                                                            BILLING CODE 4163–18–P
                                                    States. The permit will be collected by
                                                                                                                                                                   FOR FURTHER INFORMATION CONTACT:       To
                                                    the CBP officer and sent to CDC.
                                                      If the permit application is denied,                                                                         request more information on the
                                                                                                            DEPARTMENT OF HEALTH AND                               proposed project or to obtain a copy of
                                                    DGMQ will email the reasons for the
                                                                                                            HUMAN SERVICES                                         the information collection plan and
                                                    denial to the dog’s owner within 3–5
                                                    business days of receiving the                                                                                 instruments, contact Leroy A.
                                                                                                            Centers for Disease Control and                        Richardson, Information Collection
                                                    application. The email will include                     Prevention
                                                    instructions on whom to contact,                                                                               Review Office, Centers for Disease
                                                    including name, address, and telephone                  [60Day–17–17ACE; Docket No. CDC–2017–                  Control and Prevention, 1600 Clifton
                                                    number, if the dog’s owner has any                      0043]                                                  Road, NE., MS–D74, Atlanta, Georgia
                                                    questions, as well as information on                                                                           30329; phone: 404–639–7570; Email:
                                                                                                            Proposed Data Collection Submitted                     omb@cdc.gov.
                                                    how to submit an appeal. In accordance                  for Public Comment and
                                                    with current procedures, individuals                                                                           SUPPLEMENTARY INFORMATION: Under the
                                                                                                            Recommendations                                        Paperwork Reduction Act of 1995 (PRA)
                                                    who wish to contest CDC’s
                                                    determination will have five business                   AGENCY: Centers for Disease Control and                (44 U.S.C. 3501–3520), Federal agencies
                                                    days after receiving the denial to submit               Prevention (CDC), Department of Health                 must obtain approval from the Office of
                                                    a written appeal. The individual must                   and Human Services (HHS).                              Management and Budget (OMB) for each
                                                    submit the appeal via email to                          ACTION: Notice with comment period.
                                                                                                                                                                   collection of information they conduct
                                                    cdcanimalimports@cdc.gov, state the                                                                            or sponsor. In addition, the PRA also
                                                    reasons for the appeal, and show that                   SUMMARY:    The Centers for Disease                    requires Federal agencies to provide a
                                                    there is a genuine and substantial issue                Control and Prevention (CDC), as part of               60-day notice in the Federal Register
                                                    of fact in dispute. CDC will issue a                    its continuing efforts to reduce public                concerning each proposed collection of
                                                    response via email, which will                          burden and maximize the utility of                     information, including each new
                                                    constitute final agency action. The                     government information, invites the                    proposed collection, each proposed
                                                    appeal will be reviewed and decided                     general public and other Federal                       extension of existing collection of
                                                    upon by a CDC senior management                         agencies to take this opportunity to                   information, and each reinstatement of
                                                    official who is senior to the employee                  comment on proposed and/or                             previously approved information
                                                    who denied the initial permit                           continuing information collections, as                 collection before submitting the
                                                    application. In keeping with current                    required by the Paperwork Reduction                    collection to OMB for approval. To
                                                    practice, a successful appeal of a denial               Act of 1995. This notice invites                       comply with this requirement, we are
                                                    only permits the owner to import the                    comment on a proposed information                      publishing this notice of a proposed
                                                    dog into the United States at a later date              collection entitled ‘‘Evaluation of                    data collection as described below.
                                                    under the requirements set forth in a                   Medication-Assisted Treatment (MAT)                       Comments are invited on: (a) Whether
                                                    dog import permit. The appeal does not                  for Opioid use disorder.’’ CDC will use                the proposed collection of information
                                                    entitle the owner to recover any costs                  the collection to conduct an                           is necessary for the proper performance
                                                    related to returning a dog that has been                epidemiologic study to assess the type                 of the functions of the agency, including
                                                    denied entry to its country of origin and               of MAT (methadone maintenance;                         whether the information shall have
                                                    reimporting the dog into the United                     buprenorphine; naltrexone; or,                         practical utility; (b) the accuracy of the
                                                    States. An owner or owner’s agent will                  counseling, no MAT), and the                           agency’s estimate of the burden of the
                                                    not be allowed to board a dog or arrange                contextual, provider, and individual                   proposed collection of information; (c)
                                                    for its confinement at a port of entry                  factors that influence implementation                  ways to enhance the quality, utility, and
                                                    pending a determination regarding the                   and improved patient wellbeing over a                  clarity of the information to be
                                                    importer’s application to import an                     two-year follow up period.                             collected; (d) ways to minimize the
                                                    inadequately immunized dog.                             DATES: Written comments must be                        burden of the collection of information
                                                    Accordingly, inadequately immunized                     received on or before August 18, 2017.                 on respondents, including through the
                                                    dogs arriving at a port of entry without                ADDRESSES: You may submit comments,                    use of automated collection techniques
                                                    an approved permit will be denied entry                 identified by Docket No. CDC–2017–                     or other forms of information
                                                    into the United States and re-exported                  0043 by any of the following methods:                  technology; and (e) estimates of capital
                                                    to its country of origin at the owner’s                    • Federal eRulemaking Portal:                       or start-up costs and costs of operation,
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    expense.                                                Regulations.gov. Follow the instructions               maintenance, and purchase of services
                                                                                                            for submitting comments.                               to provide information. Burden means
                                                    III. Paperwork Reduction Act                               • Mail: Leroy A. Richardson,                        the total time, effort, or financial
                                                       This change does not institute a new                 Information Collection Review Office,                  resources expended by persons to
                                                    collection of information. The collection               Centers for Disease Control and                        generate, maintain, retain, disclose or
                                                    of information, has been previously                     Prevention, 1600 Clifton Road NE., MS–                 provide information to or for a Federal
                                                    approved by the Office of Management                    D74, Atlanta, Georgia 30329.                           agency. This includes the time needed
                                                    and Budget (OMB) in accordance with                        Instructions: All submissions received              to review instructions; to develop,
                                                    the requirements of the Paperwork                       must include the agency name and                       acquire, install and utilize technology


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                                                                                             Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices                                                           27833

                                                    and systems for the purpose of                                         in the United States. At any given time,                      real-world outpatient settings. The
                                                    collecting, validating and verifying                                   only half of these people receive some                        study aims to have 3,000 participants
                                                    information, processing and                                            form of treatment, which may include                          from real-world outpatient settings to
                                                    maintaining information, and disclosing                                medication-assisted treatment (MAT) or                        better understand the relationship
                                                    and providing information; to train                                    abstinence-based psychotherapy or self-                       between type of MAT and individual,
                                                    personnel and to be able to respond to                                 help treatments (i.e., counseling without                     provider, and contextual characteristics
                                                    a collection of information, to search                                 medication [COUN]). The rise in opioid                        related to retention in treatment and
                                                    data sources, to complete and review                                   overdose deaths, up from 2014–2015                            abstinence from opioid use. The sites
                                                    the collection of information; and to                                  due partly to a 72% rise in synthetic                         will be located across 10 diverse
                                                    transmit or otherwise disclose the                                     opioid overdose deaths alone, shows                           metropolitan statistical areas (MSAs)
                                                    information.                                                           that engaging and retaining clients in                        with four sites in each MSA. At each
                                                                                                                           OUD treatment is an urgent public                             site, about 75 participants are expected
                                                    Proposed Project
                                                                                                                           health need. Only a few studies are                           to participate for a total of 300 per MSA.
                                                      Evaluation of Medication-Assisted                                    available to help clients and providers                       Across all MSAs, the study will aim to
                                                    Treatment (MAT) for Opioid use                                         make informed decisions about the risks                       have 750 client participants in each of
                                                    disorder—New—National Center for                                       and benefits associated with the                              the four treatment conditions (MMT,
                                                    Injury Prevention and Control (NCIPC),                                 different types of MATs. This                                 BUP, NAL, and COUN).
                                                    Centers for Disease Control and                                        information is crucial because even                              The study will use a mixed-method
                                                    Prevention (CDC).                                                      though each MAT drug helps prevent                            approach using quantitative methods
                                                                                                                           withdrawal symptoms and decreases                             such as multilevel latent growth models,
                                                    Background and Brief Description
                                                                                                                           cravings, differences in treatment                            propensity score matching, latent class
                                                      CDC seeks a three-year OMB approval                                  approach and settings influence how                           analysis and advance mediation
                                                    to collect evaluation information for                                  people respond to the medication and,                         analysis and qualitative methods such
                                                    Medication-Assisted Treatment (MAT)                                    thus, their long-term treatment success.                      as interactive coding and analysis for
                                                    for Opioid use disorder.                                                 The purpose of this evaluation is to                        common themes. The only cost to
                                                      About 2.4 million people aged 18 or                                  conduct an epidemiologic, mixed-                              respondents will be time spent
                                                    older have opioid use disorders (OUDs)                                 methods evaluation of OUD treatment in                        responding to the survey/screener.

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

                                                    Provider site staff ..............................        Client Permission Form ....................                        15               100            5/60            125
                                                                                                              Visit Form .........................................               15               525           10/60          1,313
                                                                                                              Site Director Questionnaire ..............                         15                 2               1             30
                                                                                                              Focus Groups ...................................                   27                 1           90/60             41
                                                    Client respondents ............................           Client Screener ................................                1,333                 1            5/60            111
                                                                                                              Client Check-in .................................               1,000                 2           15/60            500
                                                                                                              Client Questionnaire .........................                  2,412                 1           49/60          1,978
                                                                                                              Focus Groups ...................................                   27                 1           90/60             41
                                                          Total ...........................................                                                                                                                    4,139



                                                    Leroy A. Richardson,                                                   Administration for Native Americans’                          consolidate staffing into one field for
                                                    Chief, Information Collection Review Office,                           (ANA) Objective Work Plan (OWP) and                           both lead and support staff.
                                                    Office of Scientific Integrity, Office of the                          Objective Progress Report (OPR). The                            ANA will require applicants to
                                                    Associate Director for Science, Office of the                          OWP is used by applicants when they                           differentiate between administrative
                                                    Director, Centers for Disease Control and                                                                                            activities and milestone activities.
                                                                                                                           submit their proposals and then by
                                                    Prevention.                                                                                                                          Administrative activities are those
                                                                                                                           grantees to monitor their projects once
                                                    [FR Doc. 2017–12736 Filed 6–16–17; 8:45 am]                                                                                          directly related to grant administration,
                                                                                                                           the award is made by ANA. Slight
                                                    BILLING CODE 4163–18–P
                                                                                                                           content changes are proposed for the                          such as reporting and attending post-
                                                                                                                           OWP approved under information                                award training. Milestone activities are
                                                                                                                           collection OMB No. 0970–0452,                                 key activities needed to complete
                                                    DEPARTMENT OF HEALTH AND                                                                                                             project objectives. These activities may
                                                    HUMAN SERVICES                                                         Expiration Date 6/30/2018. An
                                                                                                                           extension of expiration date is also                          result in a single output; therefore ANA
                                                                                                                           requested. This will streamline the                           will require applicants to identify
                                                    Administration for Children and
                                                                                                                                                                                         outputs related to milestone activities as
                                                    Families                                                               information collection and reduce the
                                                                                                                                                                                         necessary.
                                                                                                                           number of elements.
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    Proposed Information Collection                                                                                                        OPR: Currently, ANA requires
                                                                                                                             OWP: The following are proposed                             grantees to report on the status of results
                                                    Activity; Comment Request
                                                                                                                           content changes to the document: ANA                          and benefits in the OPR. This section
                                                      Title: Administration for Native                                     proposes to eliminate Problem                                 will be deleted as ANA no longer
                                                    Americans Objective Work Plan (OWP)                                    Statement and Results and Benefits and                        requires grantees to identify results or
                                                    and Objective Progress Report (OPR).                                   Criteria for Evaluation of results and                        benefits from their project, just
                                                      OMB No.: 0970–0452.                                                  benefits from the OWP. These elements                         outcomes. Outcomes will be reported
                                                      Description: Content and formatting                                  will no longer be required by applicants                      annually in a separate OMB approved
                                                    changes are being made to the                                          for ANA discretionary grants. ANA will                        form.


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Document Created: 2017-06-17 01:47:49
Document Modified: 2017-06-17 01:47:49
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
ActionNotice with comment period.
DatesWritten comments must be received on or before August 18, 2017.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. Richardson, 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 27832 

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