[Federal Register Volume 77, Number 195 (Tuesday, October 9, 2012)]
[Notices]
[Pages 61407-61409]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-24767]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-13-12GF]
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) 639-7570 or send an email to
[email protected]. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing--
New--National Center for Chronic
[[Page 61408]]
Disease Prevention and Health Promotion (NCCDPHP) and National Center
for Environmental Health (NCEH), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The health risks associated with cigarette smoking and exposure to
Secondhand Smoke (SHS) are well established. In 2006, the Surgeon
General's report documented that over the past two decades, the
scientific, engineering and medical literature have established a wide
range of adverse health effects from SHS. The Surgeon General's report
concluded that there is no safe level of exposure to SHS.
Approximately 85 million Americans reside in multi-unit housing
(MUH) facilities, which comprise nearly 30% of all housing in the U.S.
Although residents may choose not to smoke, they may still be exposed
to SHS through the routine operation of facility-wide heating,
ventilating and air conditioning systems.
The private sector has begun to institute smoke-free policies in
MUH on a voluntary basis through changes in leasing agreements and
advertising, however, smoking restrictions in MUH have largely been
limited to common areas and spaces, not individual dwelling units.
There are no studies that have examined the impact of smoke free
policies by comparing pre- and post SHS exposure and changes in health
outcomes after local governments adopt regulatory policies that protect
residents from the effects of exposure to SHS in their housing units.
CDC proposes to conduct a study to address the gap in scientific
evidence about the impact of jurisdiction-wide strategies (hereafter
known as smoke-free MUH policies) to protect individuals from SHS in
MUH settings. Through the collection and analysis of environmental and
biometric data, the study will demonstrate how SHS exposure can be
measured and will quantify how exposure changes when smoke-free
policies are implemented. In addition, the study will examine barriers
and facilitators to implementation of smoke-free policies in MUH and
the cost-effectiveness of these policies. CDC is authorized to conduct
this investigation by the Public Health Service Act. The activities are
funded through the Prevention and Public Health Fund of the Patient
Protection and Affordable Care Act.
The proposed study consists of two components. The first component
involves data collection in Los Angeles County, California, and
includes a number of ``intervention'' communities that have adopted, or
are scheduled to adopt, smoke-free MUH laws by mid-2012, as well as
``comparison'' communities that have not adopted laws regulating SHS in
MUH. Communities being considered for participation in the study as
intervention communities include Sierra Madre, Lawndale, Culver City,
El Monte, Artesia, San Fernando, San Gabriel, Hawthorne, Carson,
Huntington Park, South Pasadena, and Compton. Communities being
considered for participation in the study as comparison communities
include Lomita, Lynwood, Monrovia, Montebello, Alhambra, LaPuente,
Monterey Park, Inglewood, Gardena, Maywood, El Segundo, and South Gate.
The availability of both intervention and comparison communities
will enable use of a quasi-experimental, baseline and follow-up study
design for examining the impact of smoke-free policies in MUH. Over a
period of two years, a sample of 500 MUH residents and 130 MUH
operators will be selected from intervention cities and a comparable
sample of 500 MUH residents and 130 MUH operators will be selected from
comparison cities. Baseline and follow-up surveys will be conducted
involving MUH operators, MUH residents, and parents of children who
reside in MUH facilities. Also, MUH residents will be recruited to
collect environmental air quality data, and both parents and children
who reside in MUH facilities will be recruited to provide saliva
samples. These samples will be analyzed for the presence of cotinine, a
biomarker of exposure to SHS.
The second component of the study will involve focus groups in
Maine, Minnesota, and Florida--states have adopted and implemented
smoke-free MUH policies for a longer period of time, either as a
response to local regulations or voluntarily. A one-time survey of MUH
operators will be conducted, and a sample of 12 MUH operators will be
selected from communities in Minnesota, Maine, and Florida. In
addition, a total of 120 residents will be selected to participate in
short focus groups, with a maximum of 4 focus groups per state. The
primary data sources for this component of the study will be (a)
quantitative data obtained from interviews with 12 MUH operators (4
operators in the three study locations, using the same questionnaire as
Los Angeles County); (b) qualitative data from participants from up to
12 focus groups (an expected total of 120 residents); and (c)
quantitative data on the same residents from pre-focus group
questionnaires. Results from studies in these three geographic areas
and from cities in LA County, will provide insights more useful at the
national population level than results based solely on information
collected in LA County.
OMB approval is requested for two years. Participation is
voluntary. The only cost to respondents is their time. The total
estimated annualized burden hours are 1,920.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hr)
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MUH Operators in Los Angeles County... Telephone Script for 173 1 5/60
Recruitment of MUH
Operators in LA County.
MUH Operator Baseline 130 1 75/60
Survey.
MUH Operator Post- 130 1 75/60
Intervention Survey.
MUH Operators in Minnesota, Maine, and Telephone Script for 6 1 5/60
Florida. Recruitment of MUH
Operators in MN, ME, FL.
MUH Operator Baseline 6 1 75/60
Survey.
MUH Operator Post- 6 1 75/60
Intervention Survey.
Adult MUH Residents in Los Angeles Resident Survey-- 833 1 5/60
County. Baseline: Screening
Eligibility.
Resident Survey-- 500 1 45/60
Baseline: Core.
Resident Survey-- 250 1 15/60
Baseline: Children's
Module.
[[Page 61409]]
Resident Survey--Post 500 1 45/60
Intervention: Core.
Resident Survey--Post 250 .............. 15/60
Intervention:
Children's Module.
Protocol for Saliva 1,000 1 10/60
Collection (Adult).
Airborne Particle 200 1 90/60
Monitoring Diary.
Child MUH Residents in LA County...... Protocol for Saliva 500 1 10/60
Collection (Child).
MUH Residents in Minnesota, Maine and Resident Focus Group 60 1 5/60
Florida. Telephone Screening
Interview Script.
Resident Pre-Focus Group 60 1 5/60
Demographic and
Attitudinal Survey.
MUH Resident Focus Group 30 1 1
Guide--Process Oriented.
MUH Resident Focus Group 30 1 1
Guide--Outcome Oriented.
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Dated: October 2, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI) Office of the Associate
Director for Science (OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012-24767 Filed 10-5-12; 8:45 am]
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