83 FR 21778 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 91 (May 10, 2018)

[Federal Register Volume 83, Number 91 (Thursday, May 10, 2018)]
[Notices]
[Pages 21778-21779]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-09914]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-0740]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled Medical Monitoring Project (MMP) to the 
Office of Management and Budget (OMB) for review and approval. CDC 
previously published a ``Proposed Data Collection Submitted for Public 
Comment and Recommendations'' notice on [insert August 22, 2017] to 
obtain comments from the public and affected agencies. CDC received 1 
comment related to the previous notice. This notice serves to allow an 
additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (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 agency's 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]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    Medical Monitoring Project (MMP)--(OMB No. 0920-0740 Exp: 6/30/
2018)--Revision--National Center for HIV/AIDS, Viral Hepatitis, STD, 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), Division of 
HIV/AIDS Prevention (DHAP) requests a revision of the currently 
approved Information Collection Request: ``Medical Monitoring Project'' 
expiring June 30, 2018. This data collection addresses the need for 
national estimates of access to and utilization of HIV-related medical 
care and services, the quality of HIV-related ambulatory care, and HIV-
related behaviors and clinical outcomes.
    For the proposed project, the same data collection methods will be 
used as for the currently approved project. Data would be collected 
from a probability sample of HIV-diagnosed adults in the U.S. who 
consent to an interview and abstraction of their medical records. As 
for the currently approved project, de-identified information would 
also be extracted from HIV case surveillance records for a dataset, 
referred to as the minimum dataset, which is used to assess non-
response bias, for quality control, to improve the ability of MMP to 
monitor ongoing care and treatment of HIV-infected persons, and to make 
inferences from the MMP sample to HIV-diagnosed persons nationally. No 
other Federal agency collects such nationally representative 
population-based information from HIV-diagnosed adults. The data are 
expected to have significant implications for policy, program 
development, and resource allocation at the state/local and national 
levels.
    The changes proposed in this request update the data collection 
system to meet prevailing information needs and enhance the value of 
MMP data, while remaining within the scope of the currently approved 
project purpose. The result is a 11% reduction in burden, or a 
reduction of 786 total burden hours annually. Specifically, the removal 
of three unfunded project areas reduces the number of interviews 
conducted and the number of persons for whom healthcare facility staff 
will be asked for contact information, assistance with approaching for 
participation, and pulling medical records.
    Changes were made that did not affect the burden, listed below:
     Sampled persons found to have resided in a non-funded 
project area on the date of sampling will be considered ineligible for 
the project, because non-funded project areas were deemed ineligible in 
the first stage of sampling.

[[Page 21779]]

     Tracking data reports will no longer be sent to CDC, as 
this information is no longer needed.
     The average token of appreciation for participants has 
been increased from $25 to $50.
     Non-substantive changes have been made to recruitment 
materials to decrease the reading comprehension level, simplify and 
standardize procedures, and incorporate a user-friendly eligibility 
checklist.
     Changes have been made to the respondent consent form to 
decrease the reading comprehension level and clarify whom participants 
should contact for different concerns.
     Forty-three data elements were removed from the minimum 
data set and thirty-seven data elements were added. Because these data 
elements are extracted from the HIV surveillance system from which they 
are sampled, these changes do not affect the burden of the project.
     Revisions to the interview questionnaire were made to 
improve coherence, boost the efficiency of the data collection, and 
increase the relevance and value of the information. Based on an 
evaluation of the currently approved MMP interview instrument 118 
questions were added to the interview form and 221 questions were 
removed. However, the average amount of time to complete the interview 
did not change.
     Thirty-nine data elements were removed from the MRA data 
structure because they were not found to be useful. No new elements 
were added. Because the medical records are abstracted by MMP staff, 
these changes do not affect the burden of the project.
    This proposed data collection would supplement the National HIV 
Surveillance System (NHSS, OMB Control No. 0920-0573, Exp. 6/30/2019) 
in 23 selected state and local health departments, which collect 
information on persons diagnosed with, living with, and dying from HIV 
infection and AIDS.
    Through their participation, respondents will help to improve 
programs to prevent HIV infection as well as services for those who 
already have HIV. The total burden hours are 6,354 hours. The 
participation of respondents is voluntary. There is no cost to the 
respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of
          Type of respondent                    Form name            Number of     responses per   Average hours
                                                                    respondents     respondent     per response
----------------------------------------------------------------------------------------------------------------
Sampled, Eligible HIV-Infected Persons  Interview Questionnaire            7,760               1           45/60
                                         (att 8a).
Facility office staff looking up        Look up contact                    1,940               1            2/60
 contact information.                    information.
Facility office staff approaching       Approach persons for                 970               1            5/60
 sampled persons for enrollment.         enrollment.
Facility office staff pulling medical   Pull medical records....           7,760               1            3/60
 records.
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Jeffrey M. Zirger,
Acting 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. 2018-09914 Filed 5-9-18; 8:45 am]
 BILLING CODE 4163-18-P