83_FR_43854 83 FR 43688 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 43688 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 166 (August 27, 2018)

Page Range43688-43689
FR Document2018-18445

Federal Register, Volume 83 Issue 166 (Monday, August 27, 2018)
[Federal Register Volume 83, Number 166 (Monday, August 27, 2018)]
[Notices]
[Pages 43688-43689]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-18445]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-1080]


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 [HIV Outpatient Study (HOPS)] 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 [September 26, 2017] to obtain comments 
from the public and affected agencies. CDC received [2] comments 
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 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]. 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

    HIV Outpatient Study (HOPS) (OMB Control Number 0920-1080, 
Expiration Date 08/31/2018)--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 requests a three 
year approval for the HIV Outpatient Study data collection activity. 
The HIV Outpatient Study (HOPS) is a prospective longitudinal cohort of 
HIV-infected outpatients at eight well-established private HIV care 
practices and university-based U.S. clinics. Clinical data are 
abstracted on ongoing basis from the medical records of adult HIV-
infected HOPS study participants, who also complete an optional seven 
minute telephone/web-based behavioral assessment as part of their 
annual clinic visit. Before enrolling in this study, all potential 
study participants will undergo an informed consent process (including 
signing of a written informed consent) which is estimated to take 15 
minutes.
    The core areas of HOPS research extending through the present HIV 
treatment era include (i) monitoring death rates and causes of death 
(ii) characterizing the optimal patient management strategies to reduce 
HIV-related morbidity and mortality (e.g., effectiveness of 
antiretroviral therapies and other clinical interventions (iii) 
monitoring of sexual and drug use behaviors to inform Prevention with 
Positives, and (iv) investigating disparities in the HIV care continuum 
by various demographic factors. In recent years, the HOPS has been 
instrumental in bringing attention to emerging issues in chronic HIV 
infection with actionable opportunities for prevention, including: 
Cardiovascular disease, fragility fractures, renal and hepatic disease, 
and cancers. The HOPS remains an important source for multi-year trend 
data concerning conditions and behaviors for which data are not readily 
available elsewhere, including: Rates of opportunistic illnesses, rates 
of comorbid conditions (e.g., hypertension, obesity, diabetes) and 
antiretroviral drug resistance.
    Data will be collected through medical record abstraction by 
trained abstractors and by telephone or internet-based, computer-
assisted interviews at eight funded study sites in six U.S. cities. 
Collection of data abstracted from patient medical records provides 
data in five general categories: Demographics and risk behaviors for 
HIV infection; symptoms; diagnosed conditions (definitive and 
presumptive); medications prescribed (including dose, duration, and 
reasons for stopping); all laboratory values, including CD4+ T-
lymphocyte (CD4+) cell counts, plasma HIV-RNA determinations, and 
genotype, phenotype, and trophile results. Data on visit frequency, 
AIDS, and death are acquired from the clinic chart.
    Data collected using a brief Telephone Audio-Computer Assisted 
Self-Interview (T-ACASI) survey or an identical web-based Audio-
Computer Assisted Self-Interview (ACASI) include: age, sex at birth, 
use of alcohol and drugs, cigarette smoking, adherence to 
antiretroviral medications, types of sexual intercourse, condom use, 
and disclosure of HIV status to partners.
    We estimate consenting 450 new participants per year across all 
HOPS study sites (50 participants at each of the eight sites). The 
consent process takes approximately 15 minutes to complete. Medical 
record abstractions will be completed on all eligible participants. All 
eligible participants will be offered the opportunity to participate in 
an optional short survey that will take approximately seven minutes. 
Participation of respondents is voluntary. There is no cost to the

[[Page 43689]]

respondents other than their time. The estimated annual burden hours 
are 405.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
        Type of respondents                   Form name             respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
HOPS study Patients................  Behavioral survey (att                2,500               1            7/60
                                      3a,b,9).
HOPS Study Patients................  Consent form (att 4).......             450               1           15/60
----------------------------------------------------------------------------------------------------------------


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. 2018-18445 Filed 8-24-18; 8:45 am]
BILLING CODE 4163-18-P



                                              43688                        Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices

                                              www.cdc.gov/niosh/nora/crosssectors/                      (b) Evaluate the accuracy of the                    management strategies to reduce HIV-
                                              ti/agenda.html.                                         agencies estimate of the burden of the                related morbidity and mortality (e.g.,
                                              FOR FURTHER INFORMATION CONTACT:                        proposed collection of information,                   effectiveness of antiretroviral therapies
                                              Emily Novicki, M.A., M.P.H,                             including the validity of the                         and other clinical interventions (iii)
                                              (NORACoordinator@cdc.gov), National                     methodology and assumptions used;                     monitoring of sexual and drug use
                                              Institute for Occupational Safety and                     (c) Enhance the quality, utility, and               behaviors to inform Prevention with
                                              Health, Centers for Disease Control and                 clarity of the information to be                      Positives, and (iv) investigating
                                              Prevention, Mailstop E–20, 1600 Clifton                 collected;                                            disparities in the HIV care continuum
                                              Road NE, Atlanta, GA 30329, phone                         (d) Minimize the burden of the                      by various demographic factors. In
                                              (404) 498–2581 (not a toll free number).                collection of information on those who                recent years, the HOPS has been
                                                                                                      are to respond, including, through the                instrumental in bringing attention to
                                              SUPPLEMENTARY INFORMATION: On
                                                                                                      use of appropriate automated,                         emerging issues in chronic HIV
                                              December 7, 2017, NIOSH published a                     electronic, mechanical, or other
                                              request for public review in the Federal                                                                      infection with actionable opportunities
                                                                                                      technological collection techniques or                for prevention, including:
                                              Register [82 FR 57758] of the draft                     other forms of information technology,
                                              version of the National Occupational                                                                          Cardiovascular disease, fragility
                                                                                                      e.g., permitting electronic submission of             fractures, renal and hepatic disease, and
                                              Research Agenda for Traumatic Injury                    responses; and
                                              Prevention. All comments received were                                                                        cancers. The HOPS remains an
                                                                                                        (e) Assess information collection                   important source for multi-year trend
                                              reviewed and addressed where                            costs.
                                              appropriate.                                                                                                  data concerning conditions and
                                                                                                        To request additional information on                behaviors for which data are not readily
                                                Dated: August 22, 2018.                               the proposed project or to obtain a copy              available elsewhere, including: Rates of
                                              Frank J. Hearl,                                         of the information collection plan and                opportunistic illnesses, rates of
                                              Chief of Staff, National Institute for                  instruments, call (404) 639–7570 or                   comorbid conditions (e.g., hypertension,
                                              Occupational Safety and Health, Centers for             send an email to omb@cdc.gov. Direct                  obesity, diabetes) and antiretroviral drug
                                              Disease Control and Prevention.                         written comments and/or suggestions                   resistance.
                                              [FR Doc. 2018–18514 Filed 8–24–18; 8:45 am]             regarding the items contained in this                    Data will be collected through
                                              BILLING CODE 4163–19–P                                  notice to the Attention: CDC Desk                     medical record abstraction by trained
                                                                                                      Officer, Office of Management and                     abstractors and by telephone or internet-
                                                                                                      Budget, 725 17th Street, NW,                          based, computer-assisted interviews at
                                              DEPARTMENT OF HEALTH AND                                Washington, DC 20503 or by fax to (202)               eight funded study sites in six U.S.
                                              HUMAN SERVICES                                          395–5806. Provide written comments                    cities. Collection of data abstracted from
                                                                                                      within 30 days of notice publication.                 patient medical records provides data in
                                              Centers for Disease Control and
                                                                                                      Proposed Project                                      five general categories: Demographics
                                              Prevention
                                                                                                        HIV Outpatient Study (HOPS) (OMB                    and risk behaviors for HIV infection;
                                                                                                      Control Number 0920–1080, Expiration                  symptoms; diagnosed conditions
                                              [30Day–18–1080]                                                                                               (definitive and presumptive);
                                                                                                      Date 08/31/2018)—REVISION—National
                                                                                                      Center for HIV/AIDS, Viral Hepatitis,                 medications prescribed (including dose,
                                              Agency Forms Undergoing Paperwork
                                                                                                      STD, and TB Prevention (NCHHSTP),                     duration, and reasons for stopping); all
                                              Reduction Act Review
                                                                                                      Centers for Disease Control and                       laboratory values, including CD4+ T-
                                                 In accordance with the Paperwork                     Prevention (CDC).                                     lymphocyte (CD4+) cell counts, plasma
                                              Reduction Act of 1995, the Centers for                                                                        HIV–RNA determinations, and
                                              Disease Control and Prevention (CDC)                    Background and Brief Description                      genotype, phenotype, and trophile
                                              has submitted the information                              The Centers for Disease Control and                results. Data on visit frequency, AIDS,
                                              collection request titled [HIV Outpatient               Prevention requests a three year                      and death are acquired from the clinic
                                              Study (HOPS)] to the Office of                          approval for the HIV Outpatient Study                 chart.
                                              Management and Budget (OMB) for                         data collection activity. The HIV                        Data collected using a brief Telephone
                                              review and approval. CDC previously                     Outpatient Study (HOPS) is a                          Audio-Computer Assisted Self-
                                              published a ‘‘Proposed Data Collection                  prospective longitudinal cohort of HIV-               Interview (T–ACASI) survey or an
                                              Submitted for Public Comment and                        infected outpatients at eight well-                   identical web-based Audio-Computer
                                              Recommendations’’ notice on                             established private HIV care practices                Assisted Self-Interview (ACASI)
                                              [September 26, 2017] to obtain                          and university-based U.S. clinics.                    include: age, sex at birth, use of alcohol
                                              comments from the public and affected                   Clinical data are abstracted on ongoing               and drugs, cigarette smoking, adherence
                                              agencies. CDC received [2] comments                     basis from the medical records of adult               to antiretroviral medications, types of
                                              related to the previous notice. This                    HIV-infected HOPS study participants,                 sexual intercourse, condom use, and
                                              notice serves to allow an additional 30                 who also complete an optional seven                   disclosure of HIV status to partners.
                                              days for public and affected agency                     minute telephone/web-based behavioral                    We estimate consenting 450 new
                                              comments.                                               assessment as part of their annual clinic             participants per year across all HOPS
                                                 CDC will accept all comments for this                visit. Before enrolling in this study, all            study sites (50 participants at each of
                                              proposed information collection project.                potential study participants will                     the eight sites). The consent process
                                              The Office of Management and Budget                     undergo an informed consent process                   takes approximately 15 minutes to
                                              is particularly interested in comments                  (including signing of a written informed              complete. Medical record abstractions
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                                              that:                                                   consent) which is estimated to take 15                will be completed on all eligible
                                                 (a) Evaluate whether the proposed                    minutes.                                              participants. All eligible participants
                                              collection of information is necessary                     The core areas of HOPS research                    will be offered the opportunity to
                                              for the proper performance of the                       extending through the present HIV                     participate in an optional short survey
                                              functions of the agency, including                      treatment era include (i) monitoring                  that will take approximately seven
                                              whether the information will have                       death rates and causes of death (ii)                  minutes. Participation of respondents is
                                              practical utility;                                      characterizing the optimal patient                    voluntary. There is no cost to the


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                                                                               Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices                                                         43689

                                              respondents other than their time. The
                                              estimated annual burden hours are 405.

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

                                              HOPS study Patients ......................................   Behavioral survey (att 3a,b,9) ........................               2,500                 1           7/60
                                              HOPS Study Patients .....................................    Consent form (att 4) .......................................            450                 1          15/60



                                              Jeffrey M. Zirger,                                            ADDRESSES:   When commenting, please                             Plan Expansion Application
                                              Acting Chief, Information Collection Review                   reference the document identifier or                             Regulations under 42 CFR 422
                                              Office, Office of Scientific Integrity, Office                OMB control number. To be assured                                (Subpart K) & 417.400
                                              of the Associate Director for Science, Office                 consideration, comments and                                      Under the PRA (44 U.S.C. 3501–
                                              of the Director, Centers for Disease Control                  recommendations must be submitted in
                                              and Prevention.                                                                                                              3520), federal agencies must obtain
                                                                                                            any one of the following ways:                                 approval from the Office of Management
                                              [FR Doc. 2018–18445 Filed 8–24–18; 8:45 am]                     1. Electronically. You may send your                         and Budget (OMB) for each collection of
                                              BILLING CODE 4163–18–P                                        comments electronically to http://                             information they conduct or sponsor.
                                                                                                            www.regulations.gov. Follow the                                The term ‘‘collection of information’’ is
                                                                                                            instructions for ‘‘Comment or                                  defined in 44 U.S.C. 3502(3) and 5 CFR
                                              DEPARTMENT OF HEALTH AND                                      Submission’’ or ‘‘More Search Options’’
                                              HUMAN SERVICES                                                                                                               1320.3(c) and includes agency requests
                                                                                                            to find the information collection                             or requirements that members of the
                                                                                                            document(s) that are accepting                                 public submit reports, keep records, or
                                              Centers for Medicare & Medicaid
                                                                                                            comments.                                                      provide information to a third party.
                                              Services
                                                                                                              2. By regular mail. You may mail                             Section 3506(c)(2)(A) of the PRA
                                                                                                            written comments to the following                              requires federal agencies to publish a
                                              [Document Identifier: CMS–10137 and CMS–                      address: CMS, Office of Strategic
                                              10237]                                                                                                                       60-day notice in the Federal Register
                                                                                                            Operations and Regulatory Affairs,                             concerning each proposed collection of
                                              Agency Information Collection                                 Division of Regulations Development,                           information, including each proposed
                                              Activities: Proposed Collection;                              Attention: Document Identifier/OMB                             extension or reinstatement of an existing
                                              Comment Request                                               Control Number ___, Room C4–26–05,                             collection of information, before
                                                                                                            7500 Security Boulevard, Baltimore,                            submitting the collection to OMB for
                                              AGENCY: Centers for Medicare &                                Maryland 21244–1850.                                           approval. To comply with this
                                              Medicaid Services, HHS.                                         To obtain copies of a supporting                             requirement, CMS is publishing this
                                              ACTION: Notice.                                               statement and any related forms for the                        notice.
                                                                                                            proposed collection(s) summarized in
                                              SUMMARY: The Centers for Medicare &                           this notice, you may make your request                         Information Collection
                                              Medicaid Services (CMS) is announcing                         using one of following:                                          1. Type of Information Collection
                                              an opportunity for the public to                                1. Access CMS’ website address at                            Request: Revision of a currently
                                              comment on CMS’ intention to collect                          https://www.cms.gov/Regulations-and-                           approved collection; Title of
                                              information from the public. Under the                        Guidance/Legislation/Paperwork                                 Information Collection: Solicitation for
                                              Paperwork Reduction Act of 1995 (the                          ReductionActof1995/PRA-Listing.html.                           Applications for Medicare Prescription
                                              PRA), federal agencies are required to                          2. Email your request, including your                        Drug Plan 2020 Contracts; Use: Coverage
                                              publish notice in the Federal Register                        address, phone number, OMB number,                             for the prescription drug benefit is
                                              concerning each proposed collection of                        and CMS document identifier, to                                provided through contracted
                                              information (including each proposed                          Paperwork@cms.hhs.gov.                                         prescription drug plans (PDPs) or
                                              extension or reinstatement of an existing                       3. Call the Reports Clearance Office at                      through Medicare Advantage (MA)
                                              collection of information) and to allow                       (410) 786–1326.                                                plans that offer integrated prescription
                                              60 days for public comment on the                             FOR FURTHER INFORMATION CONTACT:                               drug and health care coverage (MA–PD
                                              proposed action. Interested persons are                       William Parham at (410) 786–1326.                              plans). Cost Plans that are regulated
                                              invited to send comments regarding our                        SUPPLEMENTARY INFORMATION:                                     under Section 1876 of the Social
                                              burden estimates or any other aspect of                                                                                      Security Act, and Employer Group
                                              this collection of information, including                     Contents
                                                                                                                                                                           Waiver Plans (EGWP) may also provide
                                              the necessity and utility of the proposed                       This notice sets out a summary of the                        a Part D benefit. Organizations wishing
                                              information collection for the proper                         use and burden associated with the                             to provide services under the
                                              performance of the agency’s functions,                        following information collections. More                        Prescription Drug Benefit Program must
                                              the accuracy of the estimated burden,                         detailed information can be found in                           complete an application, negotiate rates,
                                              ways to enhance the quality, utility, and                     each collection’s supporting statement                         and receive final approval from CMS.
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                                              clarity of the information to be                              and associated materials (see                                  Existing Part D Sponsors may also
                                              collected, and the use of automated                           ADDRESSES).                                                    expand their contracted service area by
                                              collection techniques or other forms of                       CMS–10137 Solicitation for                                     completing the Service Area Expansion
                                              information technology to minimize the                          Applications for Medicare                                    (SAE) application.
                                              information collection burden.                                  Prescription Drug Plan 2020 Contracts                          Collection of this information is
                                              DATES: Comments must be received by                           CMS–10237 Medicare Advantage                                   mandated in Part D of the Medicare
                                              October 26, 2018.                                               Application—Part C and 1876 Cost                             Prescription Drug, Improvement, and


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Document Created: 2018-08-25 01:48:04
Document Modified: 2018-08-25 01:48:04
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
FR Citation83 FR 43688 

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