Federal Register / Vol. 74, No. 42 / Thursday, March 5, 2009 / Notices 9615 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden 

Patient satisfaction survey ............................................................................. 300 60 $19.29 $1,157 

Focus groups ................................................................................................. 2 .5 39 37.50 1,463 

Total ........................................................................................................ 302 .5 99 na 2,620 

* The hourly wage for the patient surveys is based on the national average wage. The hourly wage for the focus groups is based upon the 

weighted mean of the average wages for physicians ($58.76, n=45), clinical administrative staff ($17.64, n=30) and other clinical staff ($25.48, 

n=30). National Compensation Survey: Occupational Wages in the United States, U.S. Department of Labor, Bureau of Labor Statistics. June 

2007, Summary 07–03, http://www.bls.gov/ncs/ocs/sp/ncblO9lO.pdf. Accessed December 10, 2008. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost for this two-year 

evaluation. The total cost is $155,110 

and includes $23,267 for project 

development, $32,573 for data 

collection activities, $31,022 for data 

processing and analysis, $15,511 for the 

publication of results, $12,408 for 

project management and $40,329 for 

overhead. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Project Development ....................................................................................................................................................... $23,267 $11,633 

Data Collection Activities ................................................................................................................................................. 32,573 16,287 

Data Processing and Analysis ......................................................................................................................................... 31,022 15,511 

Publication of Results ...................................................................................................................................................... 15,511 7,756 

Project Management ........................................................................................................................................................ 12,408 6,204 

Overhead ......................................................................................................................................................................... 40,329 20,164 

Total .......................................................................................................................................................................... 155,110 77,555 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ health care research, quality 

improvement and information 

dissemination functions, including 

whether the information will have 

practical utility; (b) the accuracy of 

AHRQ’s estimate of burden (including 

hours and costs) of the proposed 

collection(s) 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 upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: February 24, 2009. 

Carol M. Clancy, 

Director. 

[FR Doc. E9–4515 Filed 3–4–09; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–08AR] 

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) 639–4766 or send an 

e-mail to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

CDC Cervical Cancer Study (CX3)— 

New—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The National Breast and Cervical 

Cancer Early Detection Program 

(NBCCEDP) is the only organized 

national screening program in the 

United States that offers breast and 

cervical cancer screening to 

underserved women. Screening policies 

for cervical cancer in the program 

include an annual Pap test until a 

woman has had three consecutive 

normal Pap tests. However, human 

papillomavirus (HPV) DNA testing is 

not currently a reimbursable expense 

under NBCCEDP guidelines, therefore 

adopting HPV DNA testing along with 

Pap testing in women over 30 could 

help the program better utilize resources 

by extending the screening interval of 

women who are cytology negative and 

HPV test negative, which is estimated to 

be 80–90% of women. 

CDC proposes to conduct a pilot study 

at 18 clinics in the state of Illinois in 

order to assess the feasibility, 

acceptability and barriers to use the 

HPV DNA test in conjunction with Pap 


jlentini on PROD1PC65 with NOTICES
9616 Federal Register / Vol. 74, No. 42 / Thursday, March 5, 2009 / Notices 

test screening. Clinics will be assigned 

to an intervention group or a control 

group, matched on clinic attributes such 

as geographical location (urban, rural), 

HPV policy, and hospital versus nonhospital status, provider specialty mix, 

patient volume, and racial/ethnic 

characteristics of the patient population. 

Clinics in the intervention group will 

receive HPV DNA tests to administer to 

eligible patients presenting for a routine 

Pap test, as well as a multi-component 

educational intervention involving both 

health care providers and patients. 

Clinics in the control group will receive 

the HPV tests for eligible patients but 

will not receive the educational 

interventions involving health care 

providers and patients. 

OMB approval is requested for the 

first three years of a planned five-year 

study period. Information will be 

collected primarily from clinical care 

providers, clinic coordinators, and a 

sample of women between the ages of 

35 and 60 who visit one of the 

participating clinics for routine cervical 

cancer screening. 

The results of this study will provide 

information about knowledge, attitudes, 

beliefs, and cervical cancer screening 

practices involving low-income, 

underserved women. The findings will 

help inform policy regarding the HPV 

DNA test on a national level for cervical 

cancer screening in the NBCCEDP. 

There are no costs to respondents 

other than their time. The total 

estimated annualized burden hours are 

1,006. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name No. of 

respondents 

No. of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Clinic Coordinators .......................................... Initial Clinic Survey ......................................... 6 1 2 

Follow-up Clinic Survey ................................. 6 11 1 

Health Care Providers .................................... Baseline Provider Survey ............................... 23 1 30/60 

Follow-up Provider Survey ............................. 23 2 30/60 

Patients ........................................................... Patient Screening Script ................................ 3,333 1 5/60 

Patient Enrollment Form ................................ 2,667 1 5/60 

Baseline Patient Survey ................................. 867 1 20/60 

Follow-up Patient Survey ............................... 624 1 10/60 

Dated: February 27, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–4720 Filed 3–4–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–08AV] 

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) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Cost and Follow-up Assessment of 

Administration on Aging (AoA)— 

Funded Fall Prevention Programs for 

Older Adults—New—National Center 

for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

NCIPC seeks to examine cost of 

implementing each of the three AoAfunded fall prevention programs for 

older adults (Stepping On, Moving for 

Better Balance and Matter of Balance) 

and to assess the maintenance of fall 

prevention behaviors among 

participants six months after completing 

the Matter of Balance program. To 

assess the maintenance of fall 

prevention behaviors, CDC will conduct 

telephone interviews of 425 Matter of 

Balance program participants six 

months after they have completed the 

program. The interview will assess their 

knowledge and self-efficacy related to 

falls as taught in the course, their 

activity and exercise levels, and their 

reported falls both before and after the 

program. The results of the follow-up 

assessment will determine the extent to 

which preventive behaviors learned 

during the Matter of Balance program 

are maintained and can continue to 

reduce fall risk. The cost assessment 

will calculate the lifecycle cost of the 

Stepping On, Moving for Better Balance, 

and Matter of Balance programs. It will 

also include calculating the investment 

costs required to implement each 

program, as well as the ongoing 

operational costs associated with each 

program. These costs will be allocated 

over a defined period of time depending 

on the average or standard amount of 

time these programs continue to operate 

(standard lifecycle analysis ranges from 

five to 10 years). As part of the lifecycle 

cost calculation, these data will allow us 

to compare program costs and to 

identify specific cost drivers, cost risks, 

and unique financial attributes of each 

program. Local program coordinators for 

the 200 sites in each of the AoA-funded 

states will collect the cost data using 

lifecycle cost spreadsheets that will be 

returned to CDC for analysis. The results 

of these studies will support the 

replication and dissemination of these 

fall prevention programs and enable 

them to reach more older adults. The 

Survey Screen takes 3 minutes, the 

survey instrument takes forty five 

minutes, and the cost tool takes two 

hours to complete. There are no costs to 

respondents other than their time. 

The total annual burden is 744 hours. 


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