19016 Federal Register / Vol. 77, No. 61 / Thursday, March 29, 2012 / Notices 

While screening rates have increased 

over the past decade, screening 

prevalence is still lower than desirable, 

particularly among individuals with low 

socioeconomic status. The indirect and 

non-medical costs associated with CRC 

screening, such as travel costs, may act 

as barriers to screening. Understanding 

these costs may provide insights that 

can be used to reduce such barriers and 

increase participation. 

In 2005, CDC established a four-year 

demonstration program at five sites to 

screen low-income individuals aged 50– 

64 years who had no health insurance 

or inadequate health insurance for CRC. 

In 2009, by applying lessons learned 

from the demonstration program, CDC 

designed and initiated the larger 

population-based Colorectal Cancer 

Control Program (CRCCP) at 29 sites. 

The goals of the expanded program are 

to reduce health disparities in CRC 

screening, incidence and mortality by 

promoting CRC screening for the eligible 

population and providing CRC 

screening to low-income adults over 50 

years of age who have no health 

insurance or inadequate health 

insurance for CRC screening. 

To date there has been no 

comprehensive assessment of all the 

costs associated with CRC screening, 

especially indirect and non-medical 

costs, incurred by the low-income 

population served by the CRCCP. CDC 

proposes to address this gap by 

collecting information from a subset of 

patients enrolled in the program. Those 

who undergo screening by FIT or 

colonoscopy will be asked to complete 

a specialized questionnaire about the 

time and personal expense associated 

with their screening. Patients who 

undergo fecal immunochemical testing 

will be asked to complete the FIT 

questionnaire, which is estimated to 

take about 10 minutes. Patients who 

undergo colonoscopy will be asked to 

complete the Colonoscopy 

questionnaire, which includes 

additional questions about the 

preparation and recovery associated 

with this procedure. The estimated 

burden per response for the 

Colonoscopy questionnaire is 25 

minutes. Demographic information will 

be collected from all patients who 

participate in the study. Participation in 

the study is voluntary, but patients will 

be offered an incentive in the form of a 

gift card. 

CDC plans to conduct the information 

collection in partnership with providers 

in five states (Alabama, Arizona, 

Colorado, New York, and Pennsylvania). 

Each provider site will administer the 

survey until it reaches a target number 

of responses. Targets for each site range 

between 75 and 150 completed 

questionnaires, depending on the 

volume of patients screened. Each 

participating provider will make patient 

navigators available to assist patients 

with coordinating the screening process 

and completing the questionnaires. 

Providers will be reimbursed for patient 

navigator time and administrative 

expense associated with data collection. 

Across the five participating sites, the 

estimated cost of this data collection is 

approximately $50,000. 

This information collection will be 

used to produce estimates of the 

personal costs incurred by patients who 

undergo CRC screening by FIT or 

colonoscopy, and to improve 

understanding of these costs as potential 

barriers to participation. Study findings 

will be disseminated through reports, 

presentations, and publications. Results 

will also be used by participating sites, 

CDC, and other federal agencies to 

improve delivery of CRC screening 

services and to increase screening rates 

among low-income adults over 50 years 

of age who have no health insurance or 

inadequate health insurance for CRC 

screening. 

OMB approval is requested for one 

year. Each respondent will have the 

option of completing a hardcopy 

questionnaire or an on-line 

questionnaire. No identifiable 

information will be collected by CDC or 

CDC’s data collection contractor. There 

are no costs to respondents other than 

their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form type Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Patients Served by the Colorectal 

Cancer Control Program.

FIT questionnaire ............................. 300 1 10/60 50 

Colonoscopy questionnaire .............. 315 1 25/60 131 

Total ........................................... ........................................................... ........................ ........................ ........................ 181 

Dated: March 23, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–7534 Filed 3–28–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–12–0040] 

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 Ron Otten, at CDC 

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 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 77, No. 61 / Thursday, March 29, 2012 / Notices 19017 

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 

NCEH/ATSDR Exposure 

Investigations (EIs) [OMB NO: 0923– 

0040, Expiration Date 11/30/2012]— 

Revision—The National Center for 

Environmental Health (NCEH), and the 

Agency for Toxic Substances and 

Disease Registry (ATSDR), and the 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

This is a brief summary of a joint 

clearance between the NCEH and 

ATSDR, (hereafter ATSDR will 

represent both ATSDR and NCEH). 

ATSDR is mandated pursuant to the 

1980 Comprehensive Environmental 

Response, Compensation, and Liability 

Act (CERCLA) and its 1986 

Amendments, the Superfund 

Amendments and Reauthorization Act 

(SARA) to prevent or mitigate adverse 

human health effects and diminished 

quality of life resulting from the 

exposure to hazardous substances in the 

environment. EIs are an approach 

developed by ATSDR that employs 

targeted biologic (e.g., urine, blood, hair 

samples) and environmental (e.g., air, 

water, soil, or food) sampling to 

determine whether people are or have 

been exposed to unusual levels of 

pollutants at specific locations (e.g., 

where people live, spend leisure time, 

or anywhere they might come into 

contact with contaminants under 

investigation). After a chemical release 

or suspected release into the 

environment, ATSDR’s EIs are used by 

public health professionals, 

environmental risk managers, and other 

decision makers to determine if current 

conditions warrant intervention 

strategies to minimize or eliminate 

human exposure. EIs are usually 

requested by officials of a state health 

agency, county health departments, the 

Environmental Protection Agency, the 

general public, and ATSDR staff. 

ATSDR has been conducting EIs since 

1995 throughout the United States. All 

of ATSDR’s biomedical assessments and 

some of the environmental 

investigations involve participants. 

Participation is completely voluntary. 

To assist in interpreting the sampling 

results, a survey questionnaire 

appropriate to the specific contaminant 

is administered to participants. ATSDR 

collects contact information (e.g., name, 

address, phone number) to provide the 

participant with their individual results. 

Name and address information are 

broken into nine separate questions 

(data fields) for computer entry. General 

information, which includes height, 

weight, age, race, gender, etc., is also 

collected primarily on biomedical 

investigations to assist with results 

interpretation. General information can 

account for approximately 20 questions 

per investigation. Some of this 

information is investigation-specific; not 

all of this data is collected for every 

investigation. ATSDR is seeking a 

revision of our approval for use of a set 

of 61 general information questions. 

ATSDR also collects information on 

other possible confounding sources of 

chemical(s) exposure such as medicines 

taken, foods eaten, hobbies, jobs, etc. In 

addition, ATSDR asks questions on 

recreational or occupational activities 

that could increase a participant’s 

exposure potential. That information 

represents an individual’s exposure 

history. To cover those broad categories, 

ATSDR is also seeking a revision to our 

approval for the use of sets of topical 

questions. Of these, we use 

approximately 12–20 questions about 

the pertinent environmental exposures 

per investigation. This number can vary 

depending on the number of chemicals 

being investigated, the route of exposure 

(e.g., breathing, eating, touching), and 

number of other sources of the 

chemical(s) (e.g., products used, jobs). 

Typically, the number of participants 

in an individual EI ranges from 10 to 

100. Questionnaires are generally 

needed in less than half of the EIs 

(approximately 7 per year). 

The subject matter for the complete 

set of topical questions includes the 

following: 

(1) Media specific which includes: Air 

(indoor/outdoor); water (water source 

and plumbing); soil, and food 

(gardening, fish, game, domestic 

animals (e.g., chickens). 

(2) Other sources such as: 

occupations; hobbies; household 

chemical uses and house construction 

characteristics; lifestyle (e.g., smoking); 

medicines and/or health conditions, and 

foods. There are no costs to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Exposure Investigation Participants ................................................................ 700 1 30/60 350 

Dated: March 23, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–7531 Filed 3–28–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Advisory Board on Radiation and 

Worker Health (ABRWH or Advisory 

Board), National Institute for 

Occupational Safety and Health 

(NIOSH) 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC), 

announces the following meeting of the 

aforementioned committee: 

Time and Date: 11 a.m.–3 p.m., April 26, 

2012. 

Place: Audio Conference Call via FTS 

Conferencing. The USA toll-free, dial-in 

number is 1 (866) 659–0537 and the pass 

code is 9933701. 

Status: Open to the public, but without a 

verbal public comment period. Written 

comment should be provided to the contact 

person below in advance of the meeting. 

Background: The Advisory Board was 

established under the Energy Employees 

Occupational Illness Compensation Program 

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