[Federal Register Volume 78, Number 144 (Friday, July 26, 2013)]
[Notices]
[Pages 45201-45203]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-17957]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-13-12QU]


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

    Impact Evaluation of CDC's Colorectal Cancer Control Program 
(CRCCP)--New--National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Colorectal cancer (CRC) is the second leading cause of cancer 
deaths in the U.S.; however, screening can effectively reduce CRC 
incidence and mortality. CDC's Colorectal Cancer Control Program 
(CRCCP) was established to increase population-level screening rates to 
80 percent. Currently, 25 states and four tribal organizations receive 
CDC funds to increase colorectal cancer screening rates. The CRCCP is 
the first cancer prevention and control program funded by CDC 
emphasizing both the direct provision of screening services and broader 
screening promotion. CRCCP grantees are required to establish evidence-
based colorectal cancer screening delivery programs for persons

[[Page 45202]]

50-64 years of age, focusing on asymptomatic persons at average risk 
for CRC with low incomes and inadequate or no health insurance coverage 
for CRC screening. Approximately 33 percent of each grantee award may 
be used to fund the provision of screening and diagnostic tests. 
Additional program activities such as patient recruitment, patient 
navigation, provider education, quality assurance, and data management 
are also supported under this component of the program.
    The CRCCP offers a unique and important opportunity to evaluate the 
efficacy of this new public health model. CDC plans to conduct an 
impact evaluation to determine whether CRCCP program activities 
increase state-level colorectal cancer screening rates and other 
proximal outcomes. The impact evaluation will use a quasi-experimental, 
control group design with pre- and post-tests involving a total of six 
states: three CRCCP grantee states (Alabama, Nebraska, and Washington) 
represent the intervention programs and three non-CRCCP states 
(Tennessee, Oklahoma, and Wisconsin) represent the control states.
    CDC plans to complete two cycles of information collection over a 
three-year period. The first information collection will be initiated 
in 2013 and the second information collection will be initiated in 
2015. Three types of information will be collected at each time, 
including: (1) A general population survey administered by telephone 
with a state-based, representative, cross-sectional, random sample of 
adults aged 50-75 (population survey); (2) a mail-back, written, survey 
of a state-based, representative sample of primary care providers 
(provider survey); and (3) qualitative case studies of program 
implementation (case studies) based on interviews with Colorectal 
Control Program staff, program evaluators, and state and local partners 
in both grantee and non-grantee states. Information will be collected 
from each site to identify interviewees and prepare for the site visit.
    The general population survey includes questions related to 
knowledge of and attitudes toward colorectal cancer, history of 
colorectal cancer screening and intentions for future screening, and 
barriers to screening. The estimated burden per response is 23 minutes. 
The provider survey of primary care physicians includes questions 
related to knowledge of colorectal cancer screening guidelines and 
screening quality, office systems that support screening, and patterns 
of referrals to screening. The estimated burden per response is 12 
minutes. For the case studies, interview guides will be used to conduct 
interviews with program staff and stakeholders to gather detailed 
information about colorectal cancer screening provision and promotion 
efforts. The estimated burden for each interview is one hour to one 
hour and 15 minutes. Evaluation staff will also collect information 
through document review and field observation.
    The information to be collected will be used to assess the impact 
of the CRCCP in improving proximal outcomes (e.g., provider knowledge, 
population attitudes) and in increasing population-level CRC screening 
rates. Results of the evaluation will be used to improve program 
performance, plan future public health programs, and improve 
efficiencies. OMB approval is requested for three years. The total 
estimated annualized burden hours are 2,425. 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
                                                                    respondents     respondent        (in hr)
----------------------------------------------------------------------------------------------------------------
General Population....................  Screener for the                   9,600               1            5/60
                                         Colorectal Cancer
                                         Population Survey.
General Population Eligible             Colorectal Cancer                  3,200               1           23/60
 Individuals ages 50-75 years.           Population Survey.
Primary Care Providers................  Survey of Primary Care             1,600               1           12/60
                                         Providers.
CRCCP and Non-Grantee Program Director  Suggested Interviewees                 4               1               1
                                         Form.
CRCCP and Non-Grantee Program           Site Visit Instructions                4               1               5
 Directors.                              Template.
CRCCP Grantee Program Staff...........  Interview Guide: Grantee              12               1           75/60
                                         Program Staff.
CRCCP Grantee Evaluators..............  Interview Guide: Grantee               4               1               1
                                         Program Evaluator.
CRCCP State and Local Sector Partners.  Interview Guide: Grantee               4               1               1
                                         Partner.
CRCCP Private Sector Partners.........  Interview Guide: Grantee               4               1               1
                                         Partner.
Non-Grantee Program Staff.............  Interview Guide: Non-                 12               1           75/60
                                         grantee Program Staff.
Non-Grantee Evaluator.................  Interview Guide: Non-                  4               1               1
                                         grantee Program
                                         Evaluator.
Non-grantee State and Local Partners..  Interview Guide: Non-                  4               1               1
                                         grantee Partner.
Non-grantee Private Sector Partners...  Interview Guide: Non-                  4               1               1
                                         grantee Partner.
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2013-17957 Filed 7-25-13; 8:45 am]
BILLING CODE 4163-18-P