Agency Forms Undergoing Paperwork Reduction Act Review

[Federal Register Volume 64, Number 36 (Wednesday, February 24, 1999)]
[Notices]
[Pages 9156-9160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-4509]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[30DAY-08-99]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) publishes a
list of

[[Page 9157]]

information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-7090. Send written
comments to CDC, Desk Officer; Human Resources and Housing Branch, New
Executive Office Building, Room 10235; Washington, DC 20503. Written
comments should be received within 30 days of this notice.

Proposed Project

1. The National Health and Nutrition Examination Survey (NHANES)--
(0920-0237)--Revision--The National Center for Health Statistics
(NCHS). The National Health and Nutrition Examination Survey (NHANES)
has been conducted periodically since 1970 by NCHS. NHANES will begin
again in February 1999 and will be conducted on a continuous, rather
than periodic, basis from that point on. The plan is to sample about
5,000 persons annually. They will receive an interview and a physical
examination. A dress rehearsal of 555 sample persons is needed to test
computer-assisted personal interviews (including translations into
Spanish), examination protocols, automated computer systems and quality
control procedures. Participation in the dress rehearsal and main
survey will be completely voluntary and confidential.
NHANES programs produce descriptive statistics which measure the
health and nutrition status of the general population. Through the use
of questionnaires, physical examinations, and laboratory tests, NHANES
studies the relationship between diet, nutrition and health in a
representative sample of the United States. NHANES monitors the
prevalence of chronic conditions and risk factors related to health
such as coronary heart disease, arthritis, osteoporosis, pulmonary and
infectious diseases, diabetes, high blood pressure, high cholesterol,
obesity, smoking, drug and alcohol use, environmental exposures, and
diet. NHANES data are used to establish the norms for the general
population against which health care providers can compare such patient
characteristics as height, weight, and nutrient levels in the blood.
Data from NHANES can be compared to those from previous surveys to
monitor changes in the health of the U.S. population. NHANES will also
establish a national probability sample of genetic material for future
genetic research for susceptibility to disease.
Users of NHANES data include Congress; the World Health
Organization; Federal agencies such as NIH, EPA, and USDA; private
groups such as the American Heart Association; schools of public
health; private businesses; individual practitioners; and
administrators. NHANES data are used to establish, monitor, and
evaluate recommended dietary allowances, food fortification policies,
programs to limit environmental exposures, immunization guidelines and
health education and disease prevention programs. Approval was received
on 5/29/98 for only a pilot test of the revised survey--without the
genetic research component. This submission requests three year
approval for the dress rehearsal and the full survey, including all
components.
The survey description, contents, and uses are the same as those in
the Federal Register notice for the pilot test. The total annual burden
hours are 51,414.

----------------------------------------------------------------------------------------------------------------
No. of Average burden/
Burden category No. of responses/ response (in
respondents respondent hrs.)
----------------------------------------------------------------------------------------------------------------
1. Screening interview only..................................... 13,467 1 0.167
2. Screener and household interviews only....................... 710 1 0.434
3. Screener, household, and SP interviews only.................. 1,066 1 1.100
4. Screener, household, and SP interviews and primary MEC exam 5,257 1 6.613
only...........................................................
5. Screener, household, and SP interviews, primary MEC exam and 263 1 11.613
full MEC replicate exam........................................
6. Screener, household, and SP interviews, MEC exam and dietary 1,052 1 8.363
replicate interview only (5% + optional 15%)...................
7. Home exam.................................................... 71 1 2.700
8. Telephone follow-up of elderly -option....................... 1,167 1 0.750
----------------------------------------------------------------------------------------------------------------

2. The National Nursing Home Survey (NNHS)--(0920-0353)--
Reinstatement--The National Center For Health Statistics(NCHS)--Section
306 of the Public Health Service Act states that the National Center
for Health Statistics ``shall collect statistics on health resources *
* * [and] utilization of health care, including utilization of * * *
services of hospitals, extended care facilities, home health agencies,
and other institutions.'' The data system responsible for collecting
this data is the National Health Care Survey (NHCS). The National
Nursing Home Survey (NNHS) is part of the Long-term Care Component of
the NHCS. The NNHS was conducted in 1973-74, 1977, 1985, 1995, and
1997. NNHS data describe this major segment of the long-term care
system and are used extensively for health care research, health
planning and public policy. The survey provides detailed information on
utilization patterns needed in order to make accurate assessments of
the effects of health care reform on the elderly. The NNHS also
provides detailed information to assess the need for and costs
associated with such care. The use of long-term care services will
become an increasingly important issue as the population continues to
age. Data from earlier NNHS collections have been used by the National
Immunization Program at CDC, Office of the U.S. Attorney General, the
Bureau of Health Professionals, the National Institute of Dental and
Craniofacial Research at NIH, the Agency for Health Care Policy and
Research, the American Health Care Association, Johnson and Johnson
Pharmaceutical, the Rand Corporation and by several newspapers and
journals. NNHS data cover: baseline data on the characteristics of
nursing homes in relation to their residents and staff, Medicare and
Medicaid certification, costs to residents, sources of payment,
residents' functional status and diagnoses. Data collection is planned
for the period July-November, 1999. Survey design is in process now.
Sample selection and preparation of layout forms will precede the data
collection by several months. The total annual burden hours are 4,500.

[[Page 9158]]

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No. of Average burden/
Respondents No. of responses/ response (in
respondents respondent hrs.)
----------------------------------------------------------------------------------------------------------------
Facility Questionnaire.......................................... 1,500 1 0.333
Current Resident Sampling List.................................. 1,500 1 0.333
Current Resident Questionnaire.................................. 1,500 6 0.17
Discharged Resident Sampling List............................... 1,500 1 0.333
Discharged Resident Questionnaire............................... 1,500 6 0.17
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3. Provider Survey of Partner Notification and Partner Management
Practices Following Diagnosis of a Sexually-Transmitted Disease (0920-
0431)--Reinstatement--The National Center for HIV, STD, and TB
Prevention (NCHSTP), Division of STD Prevention, CDC is proposing to
conduct a national survey of physician's partner management practices
following the diagnosis of a sexually-transmitted disease. Partner
notification, a technique for controlling the spread of sexually-
transmitted diseases is one of the five key elements of a long standing
public health strategy to control sexually-transmitted infections in
the US. At present, there is very little knowledge about partner
notification practices outside public health settings despite the fact
that most STD cases are seen in private health care settings. No
descriptive data currently exist that allow the Centers for Disease
Control and Prevention to characterize partner notification practices
among the broad range of clinical practice settings where STDs are
diagnosed, including acute or urgent care, emergency room, or primary
and ambulatory care clinics. The existing literature contains
descriptive studies of partner notification in public health clinics,
but no baseline data exist as to the practices of different physician
specialties across different practice settings.
The CDC proposes to fill that gap through a national sample survey
of 7,000 physicians who treat patients with STDs in a wide variety of
clinical settings; an 80% completion rate is anticipated (n=5,040
surveys). This survey will provide the baseline data necessary to
characterize infection control practices, especially partner
notification practices, for syphilis, gonorrhea, HIV, and chlamydia and
the contextual factors that influence those practices. Findings from
the proposed national survey of physicians will assist CDC to better
focus STD control and partner notification program efforts and to
allocate program resources appropriately. Without this information, CDC
will have little information about STD treatment, reporting, and
partner management services provided by physicians practicing in the
US. With changes underway in the manner in which medical care is
delivered and the move toward managed care, clinical functions
typically provided in the public health sector will now be required of
private medical providers. At present, CDC does not have sufficient
information to guide future STD control efforts in the private medical
sector.
The current OMB approval for this collection covered the pilot only
and expired on October 31, 1998. The pilot varied the respondent
payment to equal subsections of the sample using amounts of $0, $15,
and $25. The re-submission of the full information collection package
will include a description of the results of the pilot including
details of the response rates overall and break down by use of the
various response rates. The total annual burden hours are 2,268.

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No. of Average burden/
Respondents No. of responses/ response (in
respondents respondent hrs.)
----------------------------------------------------------------------------------------------------------------
Clinicians who see STDs......................................... 4,032 1 0.5
Clinicians who do not see STDs.................................. 1,008 1 .25
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4. School Health Policies and Programs Study 2000 (SHPPS 2000)--
New--The National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP). The purpose of this request is to obtain OMB
clearance to conduct a study of school health policies and programs in
elementary, middle/junior, and senior high schools nationwide. A
similar study was conducted in 1994 (OMB No. 0920-0340). SHPPS 2000
will assess the characteristics of eight components of school health
programs at the elementary, middle/junior, and senior high school
levels: health education, physical education and activity, health
services, food service, school policy and environment, mental health
and social services, faculty and staff health promotion, and family and
community involvement. SHPPS 2000 data will be used to provide end-of-
decade measures for 18 national health objectives for 2000 and as a
baseline measure for at least 17 draft objectives for 2010. No other
national source of data exists for these 2000 and draft 2010
objectives. The data also will have significant implications for policy
and program development for school health programs nationwide. The
total annual burden hours are 26,416.

Annual Burden Hours for SHPPS 2000 Main Data Collection, Spring 2000
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Number of Burden hours
Questionnaire/activity Respondent respondents per respondent
----------------------------------------------------------------------------------------------------------------
State Health Education........................... State officials.............. 51 1.00
State Physical Education and Activity............ State officials.............. 51 1.00
State Health Services............................ State officials.............. 51 1.00
State Food Service............................... State officials.............. 51 1.00
State Questionnaire on School Policy and State officials.............. 51 1.25
Environment.
State Mental Health and Social Services.......... State officials.............. 51 1.00

[[Page 9159]]

State Faculty and Staff Health Promotion......... State officials.............. 51 0.50
Assist with identifying state level respondents State officials.............. 51 1.00
and with recruiting districts and schools.
District Health Education........................ District officials........... 1148 1.00
District Physical Education and Activity......... District officials........... 1148 1.00
District Health Services......................... District officials........... 1148 1.00
District Food Service............................ District officials........... 1148 1.00
District Questionnaire on School Policy and District officials........... 1148 1.25
Environment.
District Mental Health and Social Services....... District officials........... 1148 1.00
District Faculty and Staff Health Promotion...... District officials........... 1148 0.50
Assist with identifying district and school level District officials........... 350 1.00
respondents and with recruiting schools.
Assist with identifying and scheduling school School officials............. 1539 1.00
level respondents.
School Health Education.......................... Health education lead 1539 1.00
teachers, principals, or
designees.
School Physical Education and Activity........... Physical education lead 1539 1.00
teachers, principals, or
designees.
School Health Services........................... School nurses, principals, or 1539 1.00
designees.
School Food Service.............................. Food service managers, 1539 1.00
principals, or designees.
School Questionnaire on School Policy and Principals or designees...... 1539 1.50
Environment.
School Mental Health and Social Services......... Counselors, principals, or 1539 1.00
designees.
School Faculty and Staff Health Promotion........ Principals or designees...... 1539 0.50
Health Education Classroom Teacher............... Health education teachers 2309 0.80
(Average 1.5 per school).
Physical Education and Activity Classroom Teacher Physical education teachers 3078 0.80
(Average 2 per school).
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Annual Burden Hours for Validity/Reliability Study, Spring 2000
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Burden hours
Questionnaire Respondent Number of per
respondents respondent
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State Health Education........................... State officials.............. 32 0.25
State Physical Education and Activity............ State officials.............. 32 0.25
State Health Services............................ State officials.............. 32 0.20
State Food Service............................... State officials.............. 32 0.20
State Questionnaire on School Policy and State officials.............. 32 0.40
Environment.
State Mental Health and Social Services.......... State officials.............. 32 0.25
State Faculty and Staff Health Promotion......... State officials.............. 32 0.20
District Health Education........................ District officials........... 82 0.25
District Physical Education and Activity......... District officials........... 82 0.25
District Health Services......................... District officials........... 82 0.20
District Food Service............................ District officials........... 82 0.20
District Questionnaire on School Policy and District officials........... 82 0.40
Environment.
District Mental Health and Social Services....... District officials........... 82 0.25
District Faculty and Staff Health Promotion...... District officials........... 82 0.40
School Health Education.......................... Health education lead 82 0.80
teachers, principals, or
designees.
School Physical Education and Activity........... Physical education lead 82 0.80
teachers, principals, or
designees.
School Health Services........................... School nurses, principals, or 82 0.80
designees.
School Food Service.............................. Food service managers, 82 0.80
principals, or designees.
School Questionnaire on School Policy and Principals or designees...... 82 1.25
Environment.
School Mental Health and Social Services......... Counselors, principals, or 82 0.80
designees.
School Faculty and Staff Health.................. Principals or designees...... 82 0.40
Promotion Health Education Classroom Teacher..... Health education teachers 82 0.80
(Average 1.5 per school).
Physical Education and Activity Classroom Teacher Physical education teachers 82 0.80
(Average 2 per school).
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[[Page 9160]]

Annual Burden Hours for SHPPS Field Test, Spring 1999
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Number of Burden hours
Questionnaire Respondent respondents per respondent
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District Health Education........................ District officials........... 9 2.00
District Physical Education and Activity......... District officials........... 9 2.00
District Health Services......................... District officials........... 9 2.00
District Food Service............................ District officials........... 9 2.00
District Questionnaire on School Policy and District officials........... 9 2.50
Environment.
District Mental Health and Social Services....... District officials........... 9 2.00
District Faculty and Staff Health Promotion...... District officials........... 9 1.00
School Questionnaire on School Policy and Principals or designees...... 80 3.00
Environment (interview and reinterview).
Health Education Classroom Teacher (interview and Health education teachers.... 80 1.60
reinterview).
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Annual Burden Hours Across All SHPPS 2000 Study Components
------------------------------------------------------------------------
Number of Total burden
Study component respondents hours
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Main Study Data Collection, Spring 2000. 26,493 25,115.9
Validity/Reliability Study, Spring 2000. 1,536 810.4
Field Test, Spring 1999................. 223 489.5
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Total............................... 28,252 26,415.8
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Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 99-4509 Filed 2-23-99; 8:45 am]
BILLING CODE 4163-18-P

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