[Federal Register Volume 65, Number 80 (Tuesday, April 25, 2000)]
[Notices]
[Pages 24213-24216]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-10237]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control And Prevention

[60 Day-00-34]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506 (c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Disease Control and 
Prevention (CDC) is providing an opportunity for public comment on 
proposed data collection projects. To request more information on the 
proposed projects or to obtain a copy of the data collection plans and 
instruments, call the CDC/ATSDR Reports Clearance Officer at (404) 639-
7090.
    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; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques for other 
forms of information technology. Send comments to CDC/ATSDR Reports 
Clearance Officer, 1600 Clifton Road, MS-D24, Atlanta, GA 30333. 
Written comments should be received within 60 days of this notice.

Proposed Projects

1. Know Your Status Media Campaign Evaluation

    New--The Centers for Disease and Prevention's (CDC) National Center 
for HIV, STD, and TB Prevention (NCHSTP) proposes a media campaign to 
promote knowledge of HIV status, using marketing clusters to target 
media messages. The purpose of this campaign is to increase the number 
of HIV positive people who are aware of their status and are receiving 
appropriate medical treatment. It is believed that knowledge of 
infection will reduce risk behavior and medical treatment will reduce 
infectiousness. CDC will conduct an evaluation of this campaign which 
will examine 2 target clusters and 4 control clusters in about 4 cities 
selected for intervention. Data will be collected via 4 types of 
surveys: (1) Telephone surveys; (2) street intercept surveys; (3) 
Hotline surveys; and (4) counseling and testing site surveys. Assuming 
a sample size of 500 for each cluster and 2 rounds of data collection 
(baseline and post intervention) for the telephone survey, and sample 
sizes of 167 for each cluster in the street intercepts, plus the first 
1,000 surveyed callers and counseling and testing site clients in each 
city, the totals are as below.
    Telephone Survey: 20,000 respondents (members of marketing clusters 
in intervention cities) will be surveyed by telephone in 2 rounds 
(baseline and post intervention, 10,000 each). It will take 
approximately 15 minutes to complete the survey for a total burden of 
5,000 hours. Because this survey will be conducted to home telephone 
numbers, there will be no cost burden to the respondents.
    Street Survey: 4,000 respondents (members of marketing clusters in 
intervention cities) will be surveyed in street intercepts in 2 rounds 
(baseline and post intervention, 2,000 each). It will take 
approximately 15 minutes to complete the survey for a total burden of 
1,000 hours. There will be no cost burden to the respondents.
    Hotline Additional Questions: HIV Hotlines serving intervention 
cities will be asked to add questions to their existing quality control 
surveys. This will add up to 3 minutes to the existing surveys for a 
total burden of 200 hours. There will be no additional cost to the 
respondents.
    Counseling and Testing Site Survey: HIV Testing and Counseling 
Sites in intervention cities will be asked to add questions to their 
existing data collection on persons seeking HIV counseling and testing. 
This will add up to 5 minutes to completing the intake data for a total 
burden of 333 hours. There will be no additional cost to the 
respondents.
    This evaluation will determine the success of the media elements of 
the campaign, provide information for improving the campaign when it is 
spread to additional sites, and determine the usefulness of targeting 
media campaigns by market clusters.
    The total cost of this evaluation to the Federal government will be 
$400,000 for the surveys. The total burden hours are expected to be 
6533 hours. Total cost to respondents is $0.

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                                                                          Number of      Average        Total
                                                            Number of     responses    burden per     response
                       Respondents                         respondents       per        response     burden  (in
                                                                         respondent    (in hours)      hours)
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Telephone Survey........................................     20,000               1      15/60         5,000
Street Survey...........................................      4,000               1      15/60         1,000
Hotline Additional Questions............................      4,000               1       3/60           200
Counseling and Testing Site Survey......................      4,000               1       5/60           333.3
                                                         -------------------------------------------------------
      Total.............................................     32,000     ............  ............     6,533
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[[Page 24214]]

2. Prevention of HIV Infection in Youth at Risk: Developing Community-
Level Intervention Strategies That Work

    New--The National Center for HIV, STD and TB Prevention (NCHSTP), 
Centers for Disease Control and Prevention (CDC) proposes to amend the 
previously approved OMB clearance package no. 0920-0441, Prevention of 
HIV Infection in Youth at Risk: Developing Community-Level Intervention 
Strategies that Work. This package received a 3-year clearance for data 
collection. The purpose of this survey is to evaluate the effectiveness 
of an intervention to reduce risk behaviors associated with HIV 
infection or transmission among young men of various racial/ethnic 
groups. Across 12 cities, data is collected in the intervention and 
comparison areas and will be used to assess risk behaviors associated 
with HIV acquisition and transmission, determinants of those behaviors, 
and to monitor awareness, contact, and participation in the 
intervention. It is hoped that this intervention study will result in 
lowering HIV risk behaviors among young men in the target audiences, 
and strengthening HIV prevention programs in these local communities. 
The population being surveyed is young men between the ages of 15 and 
25 who report practicing behaviors that put them at high risk for 
acquiring HIV. Across the 12 cities participating in this study, the 
target audiences include African-American, Asian and Pacific Islander, 
Hispanic or Latino, and white young men. A survey will also be 
administered to Community Health Advisors who provided peer outreach to 
the target communities.
    At the time of the original submission, process forms to monitor 
the intervention were being developed by the study investigators. 
During the development of the process measures for the project, it was 
determined that a form would be developed to monitor the activities and 
attitudes (e.g., increase in self-efficacy, collective efficacy, and 
group cohesion) of Community Health Advisors providing peer outreach to 
the intervention communities. The study hypothesizes that these factors 
may influence the relative impact of the intervention. This submission 
is to amend the currently approved package to include a survey to 
monitor peer outreach activities.
    In order to evaluate the effectiveness of the interventions, 
questionnaire data will be collected in intervention and comparison 
areas before the start of the intervention, and at the end of the study 
(3 years later). In addition, data will be collected at two periods 
during the intervention in order to monitor awareness of the 
intervention among the target population. Data will be collected from 
Community Health Advisors every quarter (90 days) in order to monitor 
the peer outreach component of the intervention. There are no costs to 
respondents for participation in the questionnaire or the survey other 
than the time it takes them to participate.
    The burden for this collection is estimated to be approximately 30 
minutes for the survey conducted before and at the end of the 
intervention, 30 minutes for the survey to monitor contact with the 
intervention, and 10 minutes for the survey conducted with Community 
Health Advisors. These estimates include the time needed to determine 
if the respondent is eligible to be interviewed, obtain informed 
consent, and administer the interview. Total cost to respondents is $0.

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                                                                          Number of      Average        Total
                                                            Number of     responses    burden per     response
                       Respondents                         respondents       per        response     burden  (in
                                                                         respondent    (in hours)      hours)
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Young Men aged 15-25 surveyed before or at end of            6,000                1         30/60      3,000
 intervention...........................................
Young Men aged 15-25 surveyed during the intervention...     6,000                1         30/60      3,000
Community Health Advisors who conduct peer outreach/           360                8         10/60        480
 surveyed during the intervention.......................
                                                         -------------------------------------------------------
      Total.............................................    12,360      ............  ............     6,480
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3. Geo-Analysis of HIV Prevention Services Provided by CDC Directly and 
Indirectly Funded Community-Based Organizations (CBOs)

    New--The Centers for Disease Control and Prevention's (CDC), 
National Center for HIV, STD, and TB Prevention (NCHSTP), Division of 
HIV/AIDS Prevention (DHAP) proposes an evaluation project which will 
build on the knowledge gained from the previous studies to provide a 
multi-level, geo-referenced review of CDC-funded, community-based 
organization (CBO)-provided HIV prevention services. The purposes of 
this project are: (1) To contribute to the construction of a national 
database of HIV prevention activities by developing a geo-coded 
database that identifies, locates and maps all CBOs directly and 
indirectly funded by CDC in the US and its territories, and (2) to 
evaluate the comprehensiveness of HIV prevention services in geographic 
areas across the United States of America and territories through the 
use of Geographic Information Systems (GIS) technology as the primary 
analytical tool.
    This project is being tasked under the Enhanced Program Assessments 
with Laboratory Capability Task Order Contract (200-96-0511) because of 
its program evaluation component. By using GIS to identify gaps in 
service provision within a given geographic area, program changes can 
be recommended to those health departments and CBOs participating in 
the project. These recommended changes may include adjusting services 
provided or target populations in an effort to close identified gaps.
    Collaboration between government agencies and CBOs with access to a 
particular group at risk has been a traditional approach in public 
health in the United States. CDC promotes the collaboration and 
coordination of HIV prevention efforts between CBOs and of CBOs with 
State health departments, affiliates of National and Regional Minority 
Organizations (NRMOs), HIV prevention service agencies, and other 
public agencies including substance abuse programs, educational 
institutions and the criminal justice system. CDC promotes 
collaboration as a strategy for: (1) Improving access to and for at 
risk populations and communities; (2) improving the direct delivery of 
services; (3) improving referral of clients to services; and (4) 
creating comprehensive HIV services in designated geographical 
jurisdictions.
    The use of GIS will enhance the accomplishment of these three goals 
by providing information to funders and other shareholders to enhance 
CBOs in their efforts to provide interventions and client referrals and 
services that are accessible to the populations in need of

[[Page 24215]]

them. This data will assist the CDC to determine the effectiveness of 
federal funding, whether the funding is affecting the designated high 
risk or infected groups such as disproportionately affected minorities 
where they live, or whether or not there are available programs to link 
with for more comprehensive services.
    The project will use appropriate technology to minimize respondent 
burden. A self-report mailed questionnaire, three pages in length, will 
be mailed. Attached, will be two maps of the geographical area (city 
and surrounding metropolitan area) where each CBO is located. The use 
of maps eliminates the need to locate maps to respond to questions 
concerning location and distance. This project will not be requesting 
information of a sensitive nature. The project deals with the types of 
interventions offered to high risk or HIV positive individuals, 
location and access.
    The CDC anticipates one person per CBO (total # of approximately 
2000) to complete the data collection form once during the 2000 for 
approximately 30 minutes. Therefore, the total response burden is 
estimated at 1,000 hours (2000  x  .5  x  1). The total cost to 
respondents is estimated at $17,000 assuming a working wage for 
assigned CBO personnel of $17.00 per hour. There are no costs to 
respondents for participation in the study other than the time (.5 
hours) it takes to complete the questionnaire. The total cost to 
respondents $0.

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                                                                                         Average
                                                            Number of     Number of    hour burden      Total
                       Respondents                         respondents    responses        per        response
                                                                                        response       burden
----------------------------------------------------------------------------------------------------------------
GIS Questionnaire for Directly and Indirectly Funded             2000             1         30/60          1000
 CBOs...................................................
                                                         -------------------------------------------------------
      Total.............................................         2000   ............  ............         1000
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4. Supplement to HIV/AIDS Surveillance (SHAS) Project

    Revision--The Centers for Disease Control and Prevention (CDC) is 
proposing revisions to the currently approved questionnaire for the 
Supplement to HIV/AIDS Surveillance (SHAS) project (OMB No. 0920-0262). 
This questionnaire provides detailed information about persons with HIV 
infection which continues to be of significant interest to public 
health, community, minority groups and affected groups. Since 1989, the 
CDC, in collaboration with 12 State and local health agencies, has 
collected data through the national Supplemental HIV/AIDS Surveillance 
project. The objective of this project is to obtain increased 
descriptive information on persons with newly reported HIV and AIDS 
infections, including sociodemographic characteristics, risk behaviors, 
use of health care services, sexual and substance abuse behaviors, 
minority issues and adherence to therapy. The revised questionnaire 
will address important emerging surveillance and prevention issues, 
particularly those related to the recent advances in therapy for HIV 
infection. This information supplements routine national HIV/AIDS 
surveillance and is used to improve CDC's understanding of minority 
issues related to the epidemic of HIV, target educational efforts to 
prevent transmission, and improve services for persons with HIV 
infection.

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                                                                          Number of      Average
                                                            Number of     responses    burden per   Total burden
                       Respondents                         respondents       per        response       (hours)
                                                                         respondent    (in hours)
----------------------------------------------------------------------------------------------------------------
Georgia.................................................       292                1           .75        219
California..............................................       301                1           .75        226
Michigan................................................        82                1           .75         62
New Mexico..............................................        81                1           .75         61
Arizona.................................................       165                1           .75        124
Colorado................................................       139                1           .75        104
Connecticut.............................................       229                1           .75        172
Delaware................................................        43                1           .75         32
Florida.................................................       430                1           .75        323
South Carolina..........................................       270                1           .75        203
New Jersey..............................................        86                1           .75         65
Washington..............................................       160                1           .75        120
                                                         -------------------------------------------------------
      Total.............................................     2,278                1           .75      1,709
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5. Message-Based Intervention for Technology Transfer

    New--The mission of the National Institute for Occupational Safety 
and Health (NIOSH) is to promote safety and health at work for all 
people through research and prevention. Over 6 million American workers 
are at risk for inhalation exposure of potentially harmful metals. 
Workers in mining, construction, and related industries are potentially 
exposed to airborne contaminants such as silver, lead, nickel, 
manganese, chromium and zinc which can cause health problems ranging 
from metal fume fever and asthma to cancer and parkinsonism. NIOSH has 
developed analytical methods for portable field exposure assessment 
that would help reduce metals exposure. The goal of this project is to 
increase the self-reported use of NIOSH developed analytical methods 
for field portable exposure assessment by American industrial 
hygienists across the five-year period from 2000 to 2004. To achieve 
this technology transfer goal, NIOSH proposes three aims: (1) To 
create, (2) implement, and (3) evaluate a message-based intervention 
targeted toward American industrial hygienists. If this project is 
successful then NIOSH will also have

[[Page 24216]]

developed and validated a communication strategy that could be adapted 
to other technology transfer problems.
    First, NIOSH will develop a message-based intervention targeted 
toward American industrial hygienists. To do this, NIOSH will create 
and pretest the message, channel, and receiver variables that will 
compose the intervention. Pretesting of the intervention will occur via 
mailout surveys and on-site pretesting with industrial hygienists 
attending conferences sponsored by AIHA (the American Industrial 
Hygiene Association), ABIH (the American Board of Industrial Hygiene), 
and ACGIH. Pretesting will occur during the first two years of the 
project (2000-1), with a total of 1,000 industrial hygienists.
    Second, NIOSH will implement the multi-channel, multi-exposure, 
message-based intervention that was created through pretesting. NIOSH 
intends to employ the following four channels of: (1) Trade print 
sources (journal and magazine); (2) web site; (3) direct personalized 
mailings; and (4) face-to-face interaction through trade show 
demonstrations. The entire population of American industrial hygienists 
(approximately 13,000) will be targeted by this intervention. The 
intervention will occur across four years, applying modifications as 
needed during the time period.
    Finally, NIOSH will conduct annual surveys of randomly selected 
samples of American industrial hygienists on their self reported use of 
NIOSH developed analytical methods for field portable exposure 
assessment through mail-in surveys based on standard HCRB communication 
and outcome protocols. During Year 1 (2000), a survey of 700 randomly 
selected industrial hygienists will be conducted to assess baseline 
levels of attitudes, knowledge and behaviors with regard to the use of 
the NIOSH developed analytical methods prior to receiving the 
intervention. During the next four years (2001-2004), an annual survey 
of 700 randomly selected industrial hygienists will be conducted to 
evaluate the impact of the message-based intervention on the use of 
NIOSH analytical methods (total across all years=2800 respondents).
    The total cost to respondents is $64,770.

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                                                                                      Average hour      Total
              Respondents                    Number of respondents        Number of    burden per     response
                                                                          responses     response       burden
----------------------------------------------------------------------------------------------------------------
Industrial Hygienist..................  1000 pretesting...............            1        .33           330
                                        700 Baseline Survey...........            1        .25           175
                                        2800 Annual Survey............            1        .5          1,400
 
      Total...........................  ..............................  ............  ............     1,905
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    Dated: April 18, 2000.
Nancy Cheal,
Acting Associate Director for Policy, Planning, and Evaluation Centers 
for Disease Control and Prevention (CDC).
[FR Doc. 00-10237 Filed 4-24-00; 8:45 am]
BILLING CODE 4163-18-P