[Federal Register Volume 77, Number 75 (Wednesday, April 18, 2012)]
[Notices]
[Pages 23263-23264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-9356]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-12-12IG]


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 S. Lane, at CDC 1600 Clifton Road, MS-
D74, Atlanta, GA 30333 or send an email to <a href="/cdn-cgi/l/email-protection#b6d9dbd4f6d5d2d598d1d9c0"><span class="__cf_email__" data-cfemail="f6999b94b6959295d8919980">[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

    Targeted Surveillance and Biometric Studies for Enhanced Evaluation 
of Community Transformation Grants--New--National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    The Prevention and Public Health Fund (PPHF) of the Patient 
Protection and Affordable Care Act of 2010 (ACA) provides an important 
opportunity for states, counties, territories and tribes to advance 
public health across the lifespan and to reduce health disparities. The 
PPHF authorizes Community Transformation Grants (CTG) for the 
implementation, evaluation, and dissemination of evidence-based 
community preventive health activities. The CTG Program emphasizes five 
strategic directions: (1) Tobacco-free living, (2) active lifestyles 
and healthy eating, (3) high impact, evidence-based clinical and other 
preventive services, (4) social and emotional well-being, and (5) 
healthy and safe physical environments.
    The CTG Program is administered by the Centers for Disease Control 
and Prevention (CDC), National Center for Chronic Disease Prevention 
and Health Promotion (NCCDPHP). As required by Section 4201 of the ACA, 
CDC is responsible for conducting a comprehensive evaluation of the CTG 
Program which includes assessment over time of measures relating to 
each of the five strategic directions. CDC is requesting OMB approval 
to collect information needed for these assessments. The information 
collection will include population-level and targeted surveillance of 
high interest indicators for a range of age groups in select CTG 
communities, as well as enhanced evaluation studies designed to assess 
the potential impact of specific CTG strategies on health outcomes.
    CDC plans to conduct the Adult Targeted Surveillance Survey (ATSS) 
in 20 CTG communities. Ten communities that have already received CTG 
cooperative agreements (group A) will participate in the ATSS in 2012, 
2014, and 2016, and ten communities that will receive CTG funding in 
fiscal year 2013 (group B) will participate in the ATSS in 2013, 2015, 
and 2017. The ATSS will be administered by telephone to a 
representative sample of 1,000 adult residents in each community for an 
estimated annualized number of respondents of 10,000. Respondents will 
be asked to provide information about household practices and their 
personal behaviors specific to the five strategic directions (e.g., 
nutrition). Responses will be used to monitor changes in relevant 
attitudes, risk behaviors, and other behavioral factors in specific 
geographic areas where CTG cooperative agreement awardees are 
implementing interventions related to CTG strategic directions. 
Information from the targeted surveillance surveys will be compared 
with data from other local, state or national surveillance systems. 
During the initial three-year OMB clearance period, the ATSS will be 
administered to a total of 20,000 respondents in group A communities 
and 10,000 respondents in group B communities.
    CDC's CTG Program evaluation plans also include enhanced evaluation 
activities and special studies fulfilling the congressional mandate to 
expand the evidence base of effective public health interventions 
across a range of settings, population subgroups, and health outcomes. 
These studies will include use of mixed-method approaches and 
observational and outcome data collection in select communities. The 
initial selected studies will address biometric changes specific to CTG 
interventions; the

[[Page 23264]]

school environment; health disparities; and use of media. New studies 
will be added in subsequent years to address additional key areas with 
important public health impact.
    CDC is requesting OMB approval to conduct the Youth and Adult 
Biometric Study (YABS), one of the above mentioned special studies, in 
10 CTG areas that are implementing evidence-based strategies to prevent 
exposure to secondhand smoke and to improve nutrition and physical 
activity among children and adults. The YABS will examine the impact of 
CTG strategies on biometric markers of health status including weight, 
height (i.e., body mass index or BMI), waist circumference, secondhand 
smoke exposure, and blood pressure.
    Participants in the YABS will be drawn from two samples of 
households. The first sample will be a targeted sub-sample of ATSS-
respondent households that have at least one child between the ages of 
3-17 years. The second sample of households will be recruited from an 
address listing that contains households with children in school 
catchment areas of high interest for assessing CTG interventions 
targeted to prevent childhood obesity. Data collection for both samples 
will be identical, with one exception. Adults from the second sample 
will be asked at the beginning of the phone call to participate in the 
telephone-based ATSS interview and YABS. Adults in the ATSS sub-sample 
will be asked to participate in YABS at the completion of the phone 
call, in order to maintain the ATSS interview as the priority for this 
set of respondents.
    Each adult respondent in the YABS will be asked to participate in 
an in-home visit with a trained interviewer, who will collect biometric 
data about the respondent such as height, weight, saliva, blood 
pressure, etc. The adult respondent will also be asked to provide 
information about his or her activity level over a one-week period. 
Objective measures of activity will be collected through use of an 
accelerometer, i.e., an electronic meter worn next to the body. In 
addition, the respondent will maintain a hardcopy activity diary to 
assist in interpreting the accelerometry data. An adult YABS respondent 
who is the parent or guardian of a child in the household will be asked 
to allow one child (age 3-17 years) to participate in the youth 
component of the YABS. With the child's assent, similar biometric and 
activity measures will be collected from the child. If the child is 
between 3 and 8 years of age, the parent or guardian will be asked to 
complete a Caregiver Survey about the child's behaviors. If the child 
is between 9 and 17 years of age, he or she will be asked to complete a 
Youth Survey.
    The information to be collected will allow CDC to estimate the 
effect of all CTG interventions on health behaviors and health outcomes 
in adults and children ages 3-17 years, and to estimate the independent 
effect of school-based interventions in youth. OMB approval is 
requested for the first three years of the five-year CTG project 
period. Participation is voluntary and there are no costs to 
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 hr)         (in hr)
----------------------------------------------------------------------------------------------------------------
Adults in CTG Awardee           Adult Targeted            10,000               1           30/60           5,000
 Communities.                    Surveillance
                                 Survey.
Adult Participants in the       Adult Targeted             1,300               1           30/60             650
 Youth and Adult Biometric       Surveillance
 Study.                          Survey.
                                Adult Biometric            2,500               1           20/60             833
                                 Measures.
                                Adult Activity               500               1           20/60             167
                                 Diary.
                                Caregiver Survey           1,000               1           15/60             250
Child Participants in the       Child Biometric            2,000               1           15/60             500
 Youth and Adult Biometric       Measures.
 Study.
                                Child Activity               500               1           10/60              83
                                 Diary.
                                Youth Survey....           1,000               1           15/60             250
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           7,733
----------------------------------------------------------------------------------------------------------------


Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity, Office of the 
Associate Director for Science, Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2012-9356 Filed 4-17-12; 8:45 am]
BILLING CODE 4163-18-P


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