[Federal Register Volume 62, Number 18 (Tuesday, January 28, 1997)]
[Notices]
[Pages 4051-4053]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2000]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[30DAY-27]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of 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 Office on (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.
    The following requests have been submitted for review since the 
last publication date on January 16, 1997.

Proposed Projects

    1. The National Home and Hospice Care Survey (NHHCS)--(0920-0298)--
Revision--The National Home and Hospice Care Survey (NHHCS) was 
conducted in 1992, 1993, 1994 and 1996. It is part of the long-term 
Care component of the National Health Care Survey. 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.'' NHHCS data are used to examine this most rapidly 
expanding sector of the health care industry. Data from the NHHCS are 
widely used by the health care industry and policy makers for such 
diverse analyses as the need for various medical supplies; minority 
access to health care; and planning for the health care needs of the 
elderly. The NHHCS also reveals detailed information on utilization 
patterns, as needed to make accurate assessments of the need for and 
costs associated with such care. Data from earlier NHHCS collections 
have been used by the Congressional Budget Office, the Bureau of Health 
Professions, the Maryland Health Resources Planning Commission, the 
National Association for Home Care, and by several newspapers and 
journals. Additional uses are expected to be similar to the uses of the 
National Nursing Home Survey. NHHCS data cover: baseline data on the 
characteristics of hospices and home health agencies in relation to 
their patients and staff, Medicare and Medicaid certification, costs to 
patients, sources of payment, patients'' functional status and 
diagnoses. Data collection is planned for the period July-October, 
1997. 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 is 5,000.

------------------------------------------------------------------------
                                                               Average  
                                   Number of    Number of      burden/  
           Respondents            respondents   responses/  response (in
                                                respondent     hours)   
------------------------------------------------------------------------
Agency Questionnaire............        1,200            1         0.333
Current Patient Sampling List...        1,200            1          .333
Current Patient Questionnaire...        1,200            6          .25 
Discharged Patient Sampling List        1,200            1          .50 

[[Page 4052]]

                                                                        
Discharged Patient Questionnaire        1,200            6          .25 
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    2. List of Ingredients Added to Tobacco in the Manufacture of 
Smokeless Tobacco Products--(0920-0338)--Extension--Oral use of 
smokeless tobacco represents a significant health risk which can cause 
cancer and a number of noncancerous oral conditions, and can lead to 
nicotine addiction and dependence. Furthermore, smokeless tobacco use 
is not a safe substitute for cigarette smoking. The Centers for Disease 
Control and Prevention's (CDC) Office on Smoking and Health (OSH) has 
been delegated the authority for implementing major components of the 
Department of Health and Human Services' (HHS) tobacco and health 
program, including collection of tobacco ingredients information. HHS's 
overall goal is to reduce death and disability resulting from cigarette 
smoking and other forms of tobacco use through programs of information, 
education and research.
    The Comprehensive Smokeless Tobacco Health Education Act of 1986 
(15 U.S.C. 4401 et seq., Pub.L. 99-252) requires each person who 
manufactures, packages, or imports smokeless tobacco products to 
provide the Secretary of HHS with a list of ingredients added to 
tobacco in the manufacture of smokeless tobacco products. HHS is 
authorized to undertake research, and to report to the Congress (as 
deemed appropriate), on the health effects of the ingredients. The 
total annual burden is 286.

------------------------------------------------------------------------
                                                               Average  
                                    Number of    Number of     burden/  
           Respondents             respondents   responses/    response 
                                                 respondent   (in hours)
------------------------------------------------------------------------
Tobacco manufacturers............           11            1           26
------------------------------------------------------------------------

    3. List of Ingredients Added to Tobacco in the Manufacture of 
Cigarette Products--(0920-0210)--Reinstatement--Cigarette smoking is 
the leading preventable cause of premature death and disability in our 
nation. Each year more than 400,000 premature deaths occur as the 
result of cigarette smoking related diseases. The Centers for Disease 
Control and Prevention (CDC), Office on Smoking and Health has primary 
responsibility for the Department of Health and Human Services' (HHS) 
smoking and health program. HHS's overall goal is to reduce death and 
disability resulting from cigarette smoking and other forms of tobacco 
use through programs of information, education and research.
    The Comprehensive Smoking Education Act of 1984 (15 U.S.C. 1336 
Pub.L. 98-474) requires each person who manufactures, packages, or 
imports cigarettes to provide the Secretary of HHS with a list of 
ingredients added to tobacco in the manufacture of cigarettes. This 
legislation also authorizes HHS to undertake research, and to report to 
the Congress (as deemed appropriate), on the health effects of the 
ingredients.
    In 1993, OMB reinstated approval for collection of ingredients 
information (0920-0210) after the expiration of the previous approval; 
this current approval expired on December 31, 1996. The total annual 
burden is 2,660.

------------------------------------------------------------------------
                                                               Average  
                                      No. of       No. of      burden/  
           Respondents             respondents   responses/    response 
                                                 respondent   (in hours)
------------------------------------------------------------------------
Tobacco Manufacturers............           14            1          190
------------------------------------------------------------------------

    4. Surveys of State-Based Diabetes Control Cooperative Agreement 
Programs--New--Diabetes Mellitus and related complications are the 
seventh leading cause of death in the United States, and accounts for 
$105 billion in direct medical costs and lost productivity each year. 
Approximately 14 million Americans have been diagnosed with diabetes, a 
leading cause of new blindness and end-stage renal failure in the 
United States and a major co-morbid factor in lower extremity 
amputation, cardiovascular disease and related death, and neonatal 
morbidity and mortality.
    Through the support of the Centers for Disease Control and 
Prevention (CDC) ``State-Based Program to Reduce the Burden of 
Diabetes: A Health Systems Approach,'' public health departments in 42 
states and four U.S. territorial affiliated jurisdictions have been 
charged with providing leadership in reducing the gap between what 
should be and what is the current standard of diabetes care.
    CDC will collect information from diabetes State Program 
Coordinators regarding the four key areas of program implementation. 
They are (1) Capacity building and infrastructure development, (2) 
surveillance and data collection, (3) health systems change, and (4) 
working with local programs.
    The survey has three main objectives:
    1. Document the progress made by Diabetes Control Programs in the 
four main areas of program implementation.
    2. Assess the relationship between the level of infrastructure 
development, and a program's efforts to carry out surveillance 
activities, health systems change activities, and work with local 
programs. Information will help improve technical assistance (TA) and 
guidance offered to states by CDC.
    3. Lay the groundwork for an evaluation instrument that can be used 
to collect data from Diabetes Control Programs at the end of the 
funding cycle in order to assess whether progress in program 
implementation and development is linked to reduced diabetes morbidity 
and mortality.
    The data will result from self-administered mailed surveys sent to 
the Program Coordinator in each state. Most questions will be in the 
form of

[[Page 4053]]

checklists although each of the four sections contain a number of open-
ended questions for explanation of unique features of programs. It is 
expected that the burden in time to each respondent will be about two 
(2) hours per Program Coordinator or Designee, resulting in a total 
burden of 92 hours. Results will also be made available to participants 
upon request. The total annual burden is 84.

------------------------------------------------------------------------
                                                               Average  
                                      No. of       No. of       burden  
           Respondents             respondents   responses/    response 
                                                 respondent   (in hours)
------------------------------------------------------------------------
Diabetes Program Coordinators....           42            1            2
------------------------------------------------------------------------

    Dated: January 22, 1997.
Wilma G. Johnson,
Acting Associate Director for Policy Planning and Evaluation, Centers 
for Disease Control and Prevention (CDC).
[FR Doc. 97-2000 Filed 1-27-97; 8:45 am]
BILLING CODE 4163-18-P