[Federal Register Volume 63, Number 110 (Tuesday, June 9, 1998)]
[Notices]
[Pages 31497-31498]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-15123]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[30DAY-15-98]


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 Officer at (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.

Proposed Projects

    1. Prostate and Colorectal Cancer Screening in the Managed Care 
Environment--New--National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP). Prostate and colorectal cancer are among 
the leading causes of cancer deaths in the U.S. Prostate cancer 
screening has increased rapidly during the past few years; however, 
little is known about actual rates of screening, or the proportion of 
men screened who present with symptoms or who are at high risk for 
prostate cancer. Evidence suggests that colorectal cancer screening can 
save lives and efforts are under way to increase participation in 
screening. However, little information is available to monitor 
screening rates. It is also unknown how well self-reported prostate and 
colorectal cancer screening rates, which are often used in population 
surveys, compare to actual screening rates. Therefore, the Centers for 
Disease Control and Prevention (CDC), National Center for Chronic 
Disease Prevention and Health Promotion, Division of Cancer Prevention 
and Control, intends to conduct a survey of prostate and colorectal 
cancer screening test utilization. As an increasing number of people 
are served by managed care organizations where they may receive cancer 
screening tests, the proposed study population are members of managed 
care organizations.
    A sample of members (men aged 40 years and older and women 50 years 
and older) of 3 managed care organizations will be interviewed over the 
telephone, and the medical charts of the participants will be 
abstracted. The information collected will include demographic 
information, prostate and colorectal cancer screening tests received 
within the past 5 years, and the reasons and outcomes of the tests. The 
total annual burden hours are 530.

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                                                                    No. of       Average burden                 
                 Respondents                       No. of         responses/    of response (in    Total burden 
                                                respondents       respondent         hrs.)          (in hrs.)   
----------------------------------------------------------------------------------------------------------------
Survey......................................            2120                1             0.25              530 
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    2. Weekly and Annual Morbidity and Mortality Reports--(0920-0007)--
Extension--Epidemiology Program Office--In 1878, Congress authorized 
the U.S. Marine Hospital Service (later re-named the U.S. Public Health 
Service) to collect morbidity reports on cholera, smallpox, plague, and 
yellow fever from U.S. consuls overseas. This information was to be 
used for instituting quarantine measures to prevent the introduction 
and spread of these diseases in the United States. In 1879, a specific 
Congressional appropriation was made for the collection and publication 
of reports of these notifiable diseases. The authority for weekly 
reporting and publication was expanded by Congress in 1893 to include 
data from state and municipal authorities throughout the U.S. To 
increase the uniformity of the data, Congress enacted a law in 1902 
directing the Surgeon General of the Public Health Service to provide 
forms for the collection and compilation of data and for the 
publication of reports at the national level.
    In 1961, responsibility for the collection of data on nationally 
notifiable diseases and deaths in 121 U.S. cities was transferred from 
the National Office of Vital Statistics to CDC. For 37 years, the MMWR 
has consistently served as CDC's main communication mode for disease 
outbreaks and trends in health and health behavior. In collaboration 
with the Council of State and Territorial Epidemiologists (CSTE), CDC 
has demonstrated the efficiency and effectiveness of computer 
transmission of data.
    The data collected electronically for publication in the MMWR 
provides information which CDC and State epidemiologists use to detail 
and more effectively interrupt outbreaks. Reporting also provides the 
timely information needed to measure and demonstrate the impact of 
changed immunization laws or a new therapeutic measure. Users of data 
include, but are not limited to, congressional offices, state and local 
health agencies, health care providers, and other health related 
groups.
    The dissemination of public health information is accomplished 
through the MMWR series of publications. The publications consist of 
the MMWR, the CDC Surveillance Summaries, the Recommendations and 
Reports, and the Annual Summary of Notifiable Diseases. The total 
annual burden hours are 4,927.

[[Page 31498]]



                                   A.12.--Estimates of Annualized Burden Hour                                   
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                                                           No. of                                               
         Type of respondents               No. of        responses/     Avg. burden/response (in   Total burden 
                                         respondents     respondent              hrs.)               (in hrs.)  
----------------------------------------------------------------------------------------------------------------
                                             Weekly Morbidity Report                                            
----------------------------------------------------------------------------------------------------------------
States...............................              50              52  1........................            2600
Territories..........................               5              52  1 @ 1....................             156
                                                                       4 @ 0.5*.................                
Cities...............................               2              52  1........................             104
                                        CDC 43.5 Weekly Mortality Report                                        
----------------------------------------------------------------------------------------------------------------
City Health Officers or Vital                     122              52  0.2......................            1269
 Statistics Registrars.                                                                                         
                                                 Annual Summary                                                 
----------------------------------------------------------------------------------------------------------------
States...............................              50               1  14.......................             700
Territories..........................               5               1  1........................              70
                                                                       4........................                
Cities...............................               2               1  14.......................             28 
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*Reports from respondents replying via FAX are more consolidated than those replying via NETSS. Attachment F is 
  an example of a table routinely produced by a territorial health department. Since this table provides        
  information needed for the weekly notifiable diseases report, a copy is sent by FAX to CDC.                   

    3. Surveillance of Hazardous Substances Emergency Event--(0923-
0008)--Extension--the Agency for Toxic Substances and Disease Registry 
(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 into the 
environment. The primary purpose of this activity, which ATSDR has 
supported since 1992, is to develop, implement, and maintain a state-
based surveillance system for hazardous substances emergency events 
which can be used to (1) describe the distribution of the hazardous 
substance releases; (2) describe the public health consequences 
(morbidity, mortality, and evacuations) associated with the events; (3) 
identify risk factors associated with the public health consequences; 
and (4) propose strategies to reduce future public health consequences. 
The study population will consist of all hazardous substance 
nonpermitted acute releases within the 13 states (Alabama, Colorado, 
Iowa, Minnesota, Mississippi, Missouri, New York, North Carolina, 
Oregon, Rhode Island, Texas, Washington, Wisconsin) participating in 
the surveillance system.
    Until this system was developed and implemented, there was no 
national public health-based surveillance system to coordinate the 
collation, analysis, and distribution of health data to public health 
practitioners. It was necessary to establish this national surveillance 
system which describes the impact of hazardous substances emergencies 
on the health of the population of the United States. The data 
collection form will be completed by the state health department HSEES 
coordinator using information provided by a variety of sources 
including environmental protection agencies, police, firefighters, 
emergency response personnel; or researched by the HSEES coordinator 
including census data, material safety data sheets, and chemical 
handbooks. The total annual burden hours are 4,316.

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                                                                      No. of        Avg burden/                 
                   Respondents                        No. of        responses/     response (in    Total burden 
                                                    respondents     respondent         hrs.)         (in hrs.)  
----------------------------------------------------------------------------------------------------------------
First...........................................              13             332               1           4,316
Second..........................................              13             332               1           4,316
Third...........................................              13             332               1           4,316
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    Dated: June 2, 1998.
Charles W. Gollmar,
Acting Associate Director for Policy Planning and Evaluation, Centers 
for Disease Control and Prevention (CDC).
[FR Doc. 98-15123 Filed 6-8-98; 8:45 am]
BILLING CODE 4163-18-P