Federal Register / Vol. 70, No. 191 / Tuesday, October 4, 2005 / Notices 57879 

and any staff time that was devoted to 

performing finger stick tests at locations 

other than the health clinic (e.g., health 

fairs, shopping malls, work sites, 

housing complexes). Of the 43 clinics to 

be surveyed, we expect that 30 (70%) 

will complete the survey. 

A computer-assisted in-person 

interview will be administered to 600 

clinic patients—60 in each of the 10 

regions in which the pilot DDI was 

implemented. The survey will collect 

background information, out-of-pocket 

medical and non-medical direct health 

care costs (e.g., co-payments, 

transportation costs, value of patients’

time associated with the clinic visit), 

and preferred features of a diabetes 

screening program. There are no costs to 

respondents other than their time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondents Number of respondents 

Number of responses per 

respondent 

Average burden per 

response 

(in hours) 

Total burden 

hours 

Implementation team members ....................................................................... 10 1 2 20 

Clinic staff ........................................................................................................ 30 1 1 30 

Patients at DDI clinics ..................................................................................... 600 1 20/60 200 

Total .......................................................................................................... 640 ........................ ........................ 250 

Dated: September 27, 2005. 

Betsey Dunaway, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 05–19827 Filed 10–3–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30 Day–05–0439x] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

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) 371–5983 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Human 

Resources and Housing Branch, New 

Executive Office Building, Room 10235, 

Washington, DC 20503 or by fax to (202) 

395–6974. Written comments should be 

received within 30 days of this notice. 

Proposed Project 

Assessment of State Early Hearing 

Detection and Intervention Programs 

(EHDI): A Program Operations 

Evaluation Protocol—New—National 

Center on Birth Defects and 

Developmental Disabilities (NCBDDD), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description: 

Every year, an estimated 12,000 

newborns are diagnosed with 

permanent hearing loss, a condition that 

if not identified and treated early can 

lead to impaired functioning and 

development. CDC’s role in the 

detection, diagnosis, and treatment of 

early hearing loss through the ‘‘Early 

Hearing Detection and Intervention 

Program’’ (EHDI) is of vital importance 

for families of newborns and infants 

affected by hearing loss. Nonetheless, 

recent data indicate that only 60 percent 

of the newborns that fail hearing 

screening are evaluated by the 

recommended 3 months of age. 

The evaluation will involve an 

integrative evaluation approach that 

encompasses the following activities, 

conducted in Arkansas, Massachusetts, 

Michigan, Utah, and Virginia: (1) A 10- 

minute survey of 3,000 mothers whose 

newborns have been screened (the 

‘‘Maternal Exit Survey’’); and (2) a 20- 

minute computer-assisted telephone 

interviewing (CATI) survey of 1,000 

mothers of newborns who have been 

referred for additional hearing 

evaluation (the ‘‘Maternal CATI 

Interview.’’) To complete these 

interviews, it is expected that 5,000 will 

be contacted. The overall burden on all 

contacted women is expected to be 

approximately 940 hours. The Maternal 

Exit Survey and the Maternal CATI 

Interview will address the following 

research questions: (1) What are the 

factors that impede or enable families to 

follow-up for early hearing evaluation 

and intervention; (2) What EHDI 

strategies implemented by hospitals 

appear to be most successful in reducing 

loss to follow-up; and (3) Is loss to 

follow-up associated with maternal 

characteristics such as parity, age or 

ethnicity? Both surveys will be available 

in English and Spanish. 

Hearing loss is the most common 

disorder that can be detected through 

newborn screening programs. Prior to 

the implementation of newborn hearing 

screening, children with hearing loss 

typically were not identified until 2 to 

3 years of age. This is well beyond the 

period of early language development. 

Now, with comprehensive EHDI 

programs, the average age of 

identification of children with hearing 

loss has been reduced so that it is now 

possible to provide interventions for 

children younger than one year of age. 

With early identification, children with 

hearing loss can begin receiving 

appropriate intervention services that 

provide the best opportunity for these 

children to reach their maximum 

potential in such areas as language, 

communication, social and emotional 

development, and school achievement. 

Newborn hearing screening is only 

the first step in the identification of 

children with hearing loss. Children 

who do not pass their screening need to 

be further evaluated to determine if they 

have hearing loss. The value of newborn 

hearing screening cannot be realized 

unless children complete the screening, 

evaluation, and intervention process. 

Since recent data indicate that nearly 40 

percent of children do not complete the 

evaluation-intervention process, this 

project is designed to understand what 

barriers exist in following through with 

evaluation and intervention. This 

evaluation also plans to provide data 

necessary to develop innovative 

solutions that can be applied by states, 

hospitals, and local programs. Results 

from this collection have the potential 

to strengthen the EHDI process and 

minimize social and economic disability 

among persons born with hearing loss. 

By evaluating the policy, structural, 

personal, and financial factors and 

barriers associated with loss to followup in the EHDI program, this study 

seeks to identify ‘‘best practices’’ for 

improving detection, referral to 

57880 Federal Register / Vol. 70, No. 191 / Tuesday, October 4, 2005 / Notices 

evaluation and intervention, and 

adherence to intervention. CDC’s plan to 

publish data and results from this 

evaluation will help state health 

officials, other Federal agencies, and 

other stakeholders to improve the EHDI 

process-providing direct benefit to 

infants with hearing loss and their 

families. The total estimated burden 

hours are 940. 

ESTIMATED ANNUALIZED TOTAL BURDEN HOURS

Instrument Number of 

respondents 

Responses 

per 

respondent 

Average burden per 

response 

(in hrs.) 

Maternal Exit Survey 

Request to Participate ................................................................................................................. 3,750 1 1⁄60

Complete Survey ......................................................................................................................... 3,000 1 10⁄60

Maternal CATI Interview 

Request to Participate ................................................................................................................. 1,250 1 2⁄60

Consent and Screening, but no Hearing Test ............................................................................. 8 1 1⁄60

Consent and Partially Completed Screening, Hearing Test but no Results ............................... 8 1 15⁄60

Consent and Completed Interview .............................................................................................. 1,000 1 20⁄60

Dated: September 28, 2005. 

Betsey Dunaway, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 05–19880 Filed 10–3–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30 Day–05–04KD] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

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) 371–5983 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 

Tremolite Asbestos Registry—NEW—

The Agency for Toxic Substances and 

Disease Registry (ATSDR). 

Background and Brief Description: 

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 Re-authorization Act 

(SARA), to establish and maintain a 

national registry of persons who have 

been exposed to hazardous substances 

in the environment and a national 

registry of persons with illnesses or 

health problems resulting from such 

exposure. In 1988, ATSDR created the 

National Exposure Registry (NER) as a 

result of this legislation in an effort to 

provide scientific information about 

potential adverse health effects people 

develop as a result of low-level, longterm exposure to hazardous substances. 

The NER is a program which collects, 

maintains, and analyzes information 

obtained from participants (called 

registrants) whose exposure to selected 

toxic substances at specific geographic 

areas in the United States has been 

documented. Relevant health data and 

demographic information are also 

included in the NER databases. The 

NER databases furnish the information 

needed to generate appropriate and 

valid hypotheses for future activities 

such as epidemiologic studies. The NER 

also serves as a mechanism for 

longitudinal health investigations that 

follow registrants over time to ascertain 

adverse health effects and latency 

periods. 

The Tremolite Asbestos Registry 

(TAR) is currently authorized as part of 

the National Exposure Registry (OMB 

#0923–0006, expiration 10/31/05). 

ATSDR is seeking a separate approval 

for the TAR activities. The purpose of 

the TAR will be to improve 

communication with people at risk for 

developing asbestos-related disease 

resulting from asbestos exposure in 

Libby, Montana, and to support research 

activities related to TAR registrants. 

The TAR is currently composed of 

information about former vermiculite 

workers, the people that lived with 

them during their tenure as vermiculite 

workers (i.e., the workers and their 

household contacts), and people who 

participated in or are eligible to 

participate in the ATSDR medical 

testing program in Libby, Montana. 

ATSDR will take a phased approach 

to creating the TAR. Phase I, which is 

currently nearing completion, involved 

identifying, locating, and contacting 

former workers and their household 

members. Phase II will combine the data 

from Phase I and the data collected 

during the medical testing program to 

create a single database. Phase III will 

involve re-contacting registrants to 

update their information. There is no 

cost to registrants other than their time. 

The total estimated annual burden 

hours are 680. 

ESTIMATED ANNUALIZED BURDEN HOURS

Forms Number of 

respondents 

Responses 

per respondent 

Avg. burden 

per response 

(in hrs.) 

Baseline TAR ............................................................................................................................... 667 1 30/60