[Federal Register Volume 79, Number 179 (Tuesday, September 16, 2014)]
[Notices]
[Pages 55496-55497]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-22010]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-14-0740]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC), as part of
its continuing effort to reduce public burden, invites the general
public and other Federal agencies to take this opportunity to comment
on proposed and/or continuing information collections, as required by
the Paperwork Reduction Act of 1995. To request more information on the
below proposed project or to obtain a copy of the information
collection plan and instruments, call 404-639-7570 and send comments to
Leroy A. Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or
send an email to [email protected].
Comments submitted in response to this notice will be summarized
and/or included in the request for Office of Management and Budget
(OMB) approval. Comments are invited on: (a) Whether the proposed
collection of information is necessary for the proper performance of
the functions of the agency, including whether the information shall
have practical utility; (b) the accuracy of the agency's estimate of
the burden of the proposed collection of information; (c) ways to
enhance the quality, utility, and clarity of the information to be
collected; (d) ways to minimize the burden of the collection of
information on respondents, including through the use of automated
collection techniques or other forms of information technology; and (e)
estimates of capital or start-up costs and costs of operation,
maintenance, and purchase of services to provide information. Burden
means the total time, effort, or financial resources expended by
persons to generate, maintain, retain, disclose or provide information
to or for a Federal agency. This includes the time needed to review
instructions; to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information, to search data sources, to complete and
review the collection of information; and to transmit or otherwise
disclose the information. Written comments should be received within 60
days of this notice.
Proposed Project
Medical Monitoring Project (MMP)--(OMB No. 0920-0740, Expiration:
5/31/2015)--Revision--National Center for HIV/AIDS, Viral Hepatitis,
STD, and TB Prevention (NCHHSTP), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC), Division of
HIV/AIDS Prevention (DHAP) requests a revision of the currently
approved Information Collection Request: ``Medical Monitoring Project''
expiring May 31, 2015. This data collection addresses the need for
national estimates of access to and utilization of HIV-related medical
care and services, the quality of HIV-related ambulatory care, and HIV-
related behaviors and clinical outcomes.
For the proposed project, the same data collection methods will be
used as for the currently approved project. Data would be collected
from a probability sample of HIV-diagnosed adults in the U.S. who
consent to an interview and abstraction of their medical records. As
for the currently approved project, de-identified information would
also be extracted from HIV case surveillance records for a dataset,
referred to as the minimum dataset, which is used to assess non-
response bias, for quality control, to improve the ability of MMP to
monitor ongoing care and treatment of HIV-infected persons, and to make
inferences from the MMP sample to HIV-diagnosed persons nationally. No
other Federal agency collects such nationally representative
population-based information from HIV-diagnosed adults. The data are
expected to have significant implications for policy, program
development, and resource allocation at the state/local and national
levels.
The changes proposed in this request update the data collection
system to meet prevailing information needs and enhance the value of
MMP data, while remaining within the scope of the currently approved
project purpose. The result is a 16% reduction in burden, or a
reduction of 1,397 total burden hours annually.
A change in sampling methods accounts for the net reduction in
burden. Specifically, sampling from the existing HIV case surveillance
database, the National HIV Surveillance System (NHSS, OMB Control No.
0920-0573, Exp. 2/29/2016) would replace the current health care-
facility-based sampling. This change in sampling methods would broaden
participation in MMP to all HIV-infected persons who have been
diagnosed and reported to the NHSS, a population that is more
representative of persons living with HIV than are persons receiving
HIV medical care. Sampling from NHSS will allow MMP to address key
information gaps related to increasing access to care, one of three
strategic areas of national focus of the National HIV/AIDS Strategy.
The change in project sampling methods reduces the amount of time
health care facility staff will spend on project activities,
substantially reducing burden hours and offsetting increases in burden
from other changes, listed below.
Restoration of the original sample of 26 geographic primary
sampling units is proposed in this request, for more complete coverage
of the population of
[[Page 55497]]
interest. Three project areas that initially participated in MMP--and
were subsequently dropped in 2009 because funding was restricted--will
be reinstated as primary sampling units if funding allows.
Increasing the sample size in three areas that were previously
allocated comparatively small samples (Georgia, Illinois, and
Pennsylvania) is expected to improve the ability to produce
representative local estimates in these areas.
Health care facility staff may be asked to look up contact
information for sampled persons with incomplete or incorrect contact
information in NHSS; this was not necessary in prior MMP cycles because
the patient samples were drawn from facility records.
Finally, changes were made that did not affect the burden, listed
below:
The interview instrument was revised to enable the
collection of critical information from HIV-infected persons not
receiving medical care and to improve question coherence, boost the
efficiency of the data collection, and increase the relevance and value
of the information. These changes were based on an evaluation of the
currently approved MMP interview instrument involving stakeholders, as
well as a pilot which evaluated new questions (Formative Research and
Tool Development, OMB Control No. 0920-0840, expiration 2/29/2016).
These revisions did not change the average time required to complete
the interview.
Six data elements were removed from the medical record
abstraction form and two data elements were added. Because the medical
records are abstracted by MMP staff, these changes do not affect the
burden of the project on the public.
Sampled persons may be interviewed wherever they currently
reside, conditional on local law and policy, and in a manner specified
by a written, project-specific agreement with the HIV surveillance unit
at the person's local health department.
Videoconferencing was added as an optional mode of
interview administration. Administering the interview via
videoconferencing will provide more flexibility for participating in
the interview and facilitate communication between respondent and
interviewer, for example, by allowing interviewers to respond
appropriately to a respondent's visual cues. Videoconferencing will
also allow the interviewer to ensure that the respondent is using the
correct response cards for interview questions. No audio/audiovisual
recordings will be made of the interviews, including interviews
administered by videoconferencing.
This proposed data collection would supplement the National HIV
Surveillance System (NHSS, OMB Control No. 0920-0573, Exp. 2/29/2016)
in 26 selected state and local health departments, which collect
information on persons diagnosed with, living with, and dying from HIV
infection and AIDS.
The participation of respondents is voluntary. There is no cost to
the respondents other than their time. Through their participation,
respondents will help to improve programs to prevent HIV infection as
well as services for those who already have HIV.
Estimated Annualized Burden Hours
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Number of Average hours
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
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Sampled, Eligible HIV-Infected Interview 8,720 1 45/60 6,540
Persons. Questionnaire.
Facility office staff looking ................ 2,180 1 2/60 73
up contact information.
Facility office staff ................ 1,090 1 5/60 91
approaching sampled persons
for enrollment.
Facility office staff pulling ................ 8,720 1 3/60 436
medical records.
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Total..................... ................ .............. .............. .............. 7,140
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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. 2014-22010 Filed 9-15-14; 8:45 am]
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