11124 Federal Register / Vol. 77, No. 37 / Friday, February 24, 2012 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60-Day–12–0222] 

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 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed project or to obtain a copy of 

data collection plans and instruments, 

call the CDC Reports Clearance Officer 

on 404–639–7570 or send comments to 

Kimberly Lane, CDC Reports Clearance 

Officer, 1600 Clifton Road, MS D–74, 

Atlanta, GA 30333 or send an email to 

omb@cdc.gov. 

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 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Questionnaire Design Research 

Laboratory (QDRL) 2012–2014, OMB 

No. 0920–0222 expiration 3/31/2013)– 

Revision–National Center for Health 

Statistics (NCHS), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall undertake 

and support (by grant or contract) 

research, demonstrations, and 

evaluations respecting new or improved 

methods for obtaining current data to 

support statistical and epidemiological 

activities for the purpose of improving 

the effectiveness, efficiency, and quality 

of health services in the United States. 

The Questionnaire Design Research 

Laboratory (QDRL) conducts 

questionnaire development, pre-testing, 

and evaluation activities for CDC 

surveys (such as the NCHS National 

Health Interview Survey, OMB No. 

0920–0214) and other federally 

sponsored surveys. NCHS is requesting 

3 years of OMB Clearance for this 

generic submission. 

The QDRL conducts cognitive 

interviews, focus groups, usability tests, 

field tests/pilot interviews, and 

experimental research in laboratory and 

field settings, both for applied 

questionnaire development and 

evaluation as well as more basic 

research on response errors in surveys. 

QDRL Staff use various techniques to 

evaluate interviewer administered, selfadministered, telephone, Computer 

Assisted Personal Interviewing (CAPI), 

Computer Assisted Self-Interviewing 

(CASI), Audio Computer-Assisted SelfInterviewing (ACASI), and web-based 

questionnaires. 

The most common questionnaire 

evaluation method is the cognitive 

interview. The interview structure 

consists of respondents first answering 

a draft survey question and then 

providing textual information to reveal 

the processes involved in answering the 

test question. Specifically, cognitive 

interview respondents are asked to 

describe how and why they answered 

the question as they did. Through the 

interviewing process, various types of 

question-response problems that would 

not normally be identified in a 

traditional survey interview, such as 

interpretive errors and recall accuracy, 

are uncovered. By conducting a 

comparative analysis of cognitive 

interviews, it is also possible to 

determine whether particular 

interpretive patterns occur within 

particular sub-groups of the population. 

Interviews are generally conducted in 

small rounds of 20–30 interviews; 

ideally, the questionnaire is re-worked 

between rounds, and revisions are 

tested iteratively until interviews yield 

relatively few new insights. 

In addition to its traditional QDRL 

activities, NCHS is requesting approval 

for a large field test that will be 

conducted in 2012. This is a 5,000-case 

test which involves testing the use of 

ACASI in the full National Health 

Interview Survey (NHIS). The ACASI 

content included in the 5,000-case test 

is consistent with the content studied in 

two smaller approved tests. The module 

includes questions on sexual identity, 

alcohol consumption, HIV testing, 

mental health, height and weight, sleep, 

and financial worries. The objective of 

asking a question on sexual identity in 

the NHIS is to fill the gaps that exist in 

the state of knowledge about the general 

health behaviors, health status, and 

health care utilization of Lesbian, Gay, 

Bisexual, and Transgender (LGBT) 

persons. 

The 5,000-case test will include one 

or more built-in experiments to assess 

the impact of ACASI, and components 

of ACASI, on prevalence estimates and 

data quality. First and foremost, test 

cases will be randomly assigned to 

receive the above described questions in 

either CAPI or ACASI. In particular, 

prevalence estimates for the sexual 

identity questions will be compared by 

mode of administration. Since a 

documented advantage of ACASI is the 

enhanced level of privacy it affords, we 

anticipate higher prevalence estimates 

of sexual minorities (Lesbian, Gay, 

Bisexual or Transgender persons) from 

this mode of administration. Estimates 

for sensitive items on mental health, 

alcohol consumption, HIV testing, 

height and weight, financial worries, 

and others will also be compared. 

Cognitive interviewing is inexpensive 

and provides useful data on 

questionnaire performance while 

minimizing respondent burden. 

Cognitive interviewing offers a detailed 

depiction of meanings and processes 

used by respondents to answer 

questions—processes that ultimately 

produce the survey data. As such, the 

method offers an insight that can 

transform understanding of question 

validity and response error. 

Documented findings from these studies 

represent tangible evidence of how the 

question performs. Such documentation 

also serves CDC data users, allowing 

them to be critical users in their 

approach and application of the data. 

Similar methodology has been 

adopted by other federal agencies, as 

well as by academic and commercial 

survey organizations. There are no costs 

to respondents other than their time. 


srobinson on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 37 / Friday, February 24, 2012 / Notices 11125 

ESTIMATED BURDEN TABLE

Projects Number of 

respondents 

Number of 

responses per 

respondent 

Average 

hours per 

response 

Response 

burden 

QDRL Interviews ................................................................................................ 9000 1 1 9000 

Focus groups ..................................................................................................... 300 1 1 .5 450 

Total ............................................................................................................ ........................ ........................ ...................... 9450 

Kimberly Lane, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–4378 Filed 2–23–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60 Day–12–12ET] 

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 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–7570 and 

send comments to Kimberly Lane, CDC 

Reports Clearance Officer, 1600 Clifton 

Road, MS–D74, Atlanta, GA 30333 or 

send an email to omb@cdc.gov. 

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 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Communications Research to Inform 

Messages and Materials about 

Cytomegalovirus (CMV)—NEW— 

Prevention Research Branch, National 

Center on Birth Defects and 

Developmental Disabilities (NCBDDD), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Cytomegalovirus (CMV) is the most 

common congenital infection in the 

U.S., causing disabilities in more than 

5,500 children born each year (CDC, 

2010). Disabilities related to congenital 

CMV are more common than other wellknown childhood conditions, such as 

Down syndrome, fetal alcohol 

syndrome, and neural tube defects, and 

can include hearing or vision loss, 

mental retardation, psychomotor delays, 

and speech and language impairment. 

This is a multiphase communication 

research study that will help inform 

CDC’s development materials and 

prevention messaging about congenital 

CMV. The information collection 

activities will consist of focus groups 

and an online survey. First, we plan to 

conduct 8 focus groups with 9 

respondents each to identify potential 

messaging frames for communicating 

information about congenital CMV to 

the target audiences and adopting CMV 

preventive guidelines. We estimate that 

we will screen 144 women between the 

ages of 18–40 who are either pregnant 

or plan to get pregnant in the next 12 

months, and who have a child under age 

5, in order to recruit 72 participants for 

the focus groups. These focus groups 

will be conducted in Atlanta, Georgia 

(4) and San Diego, California (4). 

Findings from the focus groups will 

inform revisions to existing CDC 

messages and materials, which will be 

further tested in the second information 

collection activity, the online survey. 

Phase II research will include an online 

survey to test the revised messages and 

materials. This web survey will: (1) 

Examine baseline awareness and 

knowledge regarding CMV, (2) assess 

baseline CMV prevention behaviors 

prior to viewing CMV communication 

interventions (factsheet and video), (3) 

assess appeal and evaluate the impact of 

CMV communication interventions on 

their attitudes, beliefs, and behavioral 

intentions regarding prevention 

behaviors and (4) assess knowledge, 

attitudes and behaviors pre- and postinterventions with a larger target 

audience sample (N=500). We estimate 

that we will screen 3,000 women in 

order to recruit 500 respondents for the 

online survey. 

All survey responses (100%) will be 

submitted through a secure survey Web 

site established for this project. No 

Information in Identifiable Form (IIF) 

collected will be transmitted to CDC. 

The only IIF being collected (respondent 

name, address, and phone number) is to 

be used by the focus group facilities to 

screen potential respondents to 

determine eligibility for the focus 

groups. The total estimated annual 

burden is 531 hours. There are no costs 

to the respondents other than their time. 

This request is submitted to obtain 

OMB clearance for one year. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Phase I: Focus Groups 

Women (age 18–40) ......................... Participant Screener ......................... 144 1 5/60 12 

Demographic questionnaire ............. 72 1 15/60 18 

Informed consent form ..................... 72 1 15/60 18 


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