[Federal Register Volume 77, Number 9 (Friday, January 13, 2012)]
[Notices]
[Pages 2066-2067]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-605]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-12-0740]


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 
<a href="/cdn-cgi/l/email-protection#56393b341635323578313920"><span class="__cf_email__" data-cfemail="6d02000f2d0e090e430a021b">[email protected]</span></a>.
    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

    Medical Monitoring Project (MMP)--(OMB No. 0920-0740 Exp: 5/31/
2012)--Revision--National Center for HIV/AIDS, Viral Hepatitis, STD, 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    This proposed data collection supplements the HIV/AIDS surveillance 
programs in 23 selected state and local health departments, which 
collect information on persons diagnosed with, living with, and dying 
from HIV infection and AIDS and will incorporate data elements from two 
data collections: Supplement to HIV/AIDS Surveillance (SHAS) project 
(0920-0262) and the Adult/Adolescent Spectrum of HIV Disease (ASD). 
Both projects stopped data collection in 2004. Although CDC receives 
surveillance data from all U.S. states, these supplemental surveillance 
data are needed to make population-based national estimates of key 
indicators, related to the quality of HIV-related ambulatory care, the 
severity of need for HIV-related care and services, and HIV-related 
behaviors and clinical outcomes.
    This project collects data on behaviors and clinical outcomes from 
a probability sample of HIV-infected adults receiving care in the U.S. 
through in-person or telephone interviews and abstraction of medical 
records. Information is also extracted from HIV case surveillance 
records for a dataset, referred to as the minimum dataset, which is 
used to assess non-response bias, for quality control, to improve the 
ability of MMP to monitor ongoing care and treatment of HIV-infected 
persons, and to make inferences from the MMP sample to HIV-infected 
persons in care nationally. No other Federal agency collects nationally 
representative population-based behavioral and clinical information 
from HIV-infected adults in care. The data are expected to have 
significant implications for policy, program development, and resource 
allocation at the state/local and national levels.
    The Centers for Disease Control and Prevention request approval for 
a

[[Page 2067]]

revision and 3-year approval for the previously approved Medical 
Monitoring Project (MMP) 0920-0740 exp. 5/31/2012). The interview and 
minimum dataset data collection instruments have been revised based on 
experience in previous data collection cycles, but these changes will 
not affect the burden per respondent. The medical record abstraction 
forms have not changed. CDC's current goal is to interview 80% of 9,400 
patients or 7,520, 96% of whom (a total of 7,219 patients) will 
complete the standard interview and 4% of whom (a total of 301 
patients) will complete the short interview. The number of sampled 
patients has increased by 62 patients compared to the previously 
approved information collection; thereby increasing the total burden 
hours by 37 hours, from 8,500 to 8,537.
    Data will be collected through in-person and telephone-
administered, computer-assisted interviews conducted by trained 
interviewers in 23 Reporting Areas (16 states, Puerto Rico and 6 
separately funded cities), through medical record and abstraction by 
trained abstractors and through extraction of information from HIV 
surveillance case records. The project activities and methods will 
remain the same as those used in the previously approved data 
collection period.
    Interviews with HIV-infected patients provide information on 
patient demographics, and the current levels of behaviors that may 
facilitate HIV transmission: sexual and drug use behaviors; patients' 
access to, use of and barriers to receiving HIV-related secondary 
prevention services; utilization of HIV-related medical services; and 
adherence to drug regimens.
    Collection of data from patient medical records provides 
information on: demographics and insurance status; the prevalence and 
incidence of AIDS-defining opportunistic illnesses and co-morbidities 
related to HIV disease; the receipt of prophylactic and antiretroviral 
medications; and whether patients are receiving screening and treatment 
according to Public Health Service guidelines.
    The minimum dataset contains demographic and HIV-related laboratory 
test information extracted from an existing HIV case surveillance 
database, the national HIV/AIDS Reporting System.
    A standard interview will be conducted with approximately 96% of 
patients, and will take 45 minutes. A short interview will be conducted 
with patients who are too ill to complete the standard interview or 
when the interview must be translated. The short interview, which will 
be conducted with approximately 4% of patients, will take approximately 
20 minutes.
    Medical record abstractions will be completed on all eligible 
participants. Minimal data on all sampled patients will be extracted 
from the national HIV/AIDS Reporting System.
    Participation of respondents is voluntary. There is no cost to the 
respondents other than their time.

Estimated Annualized Burden Hours

----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Sampled, Eligible HIV-Infected  Standard                    7219               1           45/60           5,414
 Patients.                       interview.
Sampled, Eligible HIV-Infected  Short interview.             301               1           20/60             100
 Patients Unable to Complete
 the Standard Interview.
Facility office staff pulling   ................           7,520               1            3/60             376
 medical records.
Facility office staff           ................             936               1               2           1,872
 providing Estimated Patient
 Loads.
Facility office staff           ................           1,030               1           30/60             515
 providing patient lists.
Facility office staff           ................           3,120               1            5/60             260
 approaching participants for
 enrollment.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           8,537
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Kimberly Lane,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2012-605 Filed 1-12-12; 8:45 am]
BILLING CODE 4163-18-P


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