[Federal Register Volume 80, Number 109 (Monday, June 8, 2015)]
[Notices]
[Pages 32383-32385]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13849]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-15-0856; Docket No. CDC-2015-0041]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, 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. This notice invites comment on the proposed
revision of the National Quitline Data Warehouse (NQDW) information
collection. The NQDW is a repository of information about callers who
have received services from state quitlines and a quarterly summary of
services provided by each quitline.
DATES: Written comments must be received on or before August 7, 2015.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0041 by any of the following methods:
Federal eRulemaking Portal: Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
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.
Proposed Project
National Quitline Data Warehouse (NQDW) (OMB No. 0920-0856, exp.
10/31/2015)--Revision--National Center for Chronic Disease and Health
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Despite the high level of public knowledge about the adverse
effects of smoking, tobacco use remains the leading preventable cause
of disease and death in the United States. Smoking results in
approximately 480,000 deaths annually (USDHHS, 2014). This total
includes approximately 41,000 annual deaths in nonsmoking U.S. adults
caused by secondhand smoke exposure (USDHHS, 2014). Although the
prevalence of current smoking among adults has been decreasing,
substantial disparities in smoking prevalence continue to exist among
individuals of low socioeconomic status, persons with mental health and
substance abuse conditions, and certain racial/ethnic populations,
among other groups.
Quitlines are telephone-based tobacco cessation services that help
tobacco users quit through a variety of services,
[[Page 32384]]
including counseling, medications, information and self-help materials
(NAQC, 2009). Quitlines are effective, population-based interventions
that increase successful quitting. Tobacco cessation quitlines overcome
many of the barriers to in-person tobacco cessation individual and
group counseling because they are free, available at the caller's
convenience, and do not require transportation or child care. They are
also efficient and cost-effective, in part because they offer multiple
services centrally that often are unavailable locally. CDC has directly
supported state quitlines since 2004 when CDC and the National Cancer
Institute (NCI) created the National Network of Tobacco Cessation
Quitlines Initiative to provide greater access to counseling for
tobacco cessation to U.S. tobacco users. Also, as part of the
Initiative, NCI established a toll-free national portal number at 1-
800-QUIT-NOW. This portal number automatically transfers callers to
their state quitline.
Quitlines now exist in all U.S. states, the District of Columbia,
Guam, and Puerto Rico. CDC currently supports the maintenance and
enhancement of state quitlines as part of the National Tobacco Control
Program, a cooperative agreement program with the states, and
additional funding designated for ensuring quitline capacity. One of
CDC's current goals is to expand quitline capacity so that all callers
to the quitline during a federal media campaign are offered at least
one coaching call, either immediately upon calling or by being re-
contacted within two to three days. A secondary purpose is to continue
to expand the capacity of state tobacco control programs to implement
evidence-based cessation interventions and to provide interventions
that are culturally and linguistically appropriate for populations that
experience disparities.
In 2010, with funding provided by the American Reinvestment and
Recovery Act (ARRA) of 2009, CDC's Office on Smoking and Health (OSH)
obtained approval to collect information through the National Quitline
Data Warehouse (NQDW; OMB No. 0920-0856). The NQDW information
collection continued from 2012-2014 using funds from the Patient
Protection and Affordable Care Act (ACA) and CDC's Prevention and
Public Health Fund (PPHF). During its five years in existence, the NQDW
has collected a quarterly services summary report from 50 states, the
District of Columbia, Guam and Puerto Rico. NQDW has also collected de-
identified, individual-level data about tobacco users who have received
services from state quitlines including caller demographics, tobacco
use behaviors of callers, reasons for calling the quitline, how callers
reported hearing about the quitline, what services callers have
received from the quitline, and whether or not callers were able to
make successful quit attempts after using state quitline programs.
Information collected by the NQDW has demonstrated an increase in
the demand for quitline services over time. Unfortunately, quitlines
remain under-funded and under-promoted. According to CDC's Best
Practices for Comprehensive Tobacco Control Programs, currently about 1
percent of tobacco users receive services from state quitlines each
year, however approximately 6 to 8 percent of tobacco users could
potentially be reached by state quitlines if quitlines were
sufficiently funded and promoted.
CDC uses the information collected by the NQDW for ongoing
monitoring and evaluation related to state quitlines. The NQDW collects
important information used to monitor and evaluate the impact of
funding for tobacco control programs and state quitlines as well as
other tobacco programs, policies and interventions. In addition, data
collected by the NQDW serves an important role in helping CDC assess
the effectiveness of the Tips From Former Smokers media campaign. The
``Tips'' campaign was initiated in 2012 to increase public awareness of
the immediate health damage caused by smoking and to encourage adult
smokers to quit (www.cdc.gov/tips).
CDC plans to request OMB approval to continue the NQDW information
collection for three years. All 50 states, the District of Columbia,
Guam, and Puerto Rico will continue to participate. Changes to be
implemented include:
(1) The Asian Smokers' Quitline (ASQ) will participate in the NQDW.
The ASQ will be administered and operated by a single, national
quitline service provider. This change will allow CDC to assess state
quitline efforts to expand quitline capacity and service provision to
the tobacco users who speak Asian languages. The total number of
programs reporting through the NQDW will increase from 53 to 54.
(2) Five questions will be added to the NQDW Intake Questionnaire
concerning pregnancy, insurance status, type of health insurance,
mental health, and language of service. This information will help CDC
and the states tailor quitline services to the needs of callers. In
2014, CDC inquired with states as to whether their state quitlines are
already collecting information on pregnancy status, insurance status,
and mental health status and learned that most state quitlines already
collect this information. However, these questions are not included in
the current NQDW Intake Questionnaire. Adding these items to the NQDW
Intake Questionnaire will impose minimal additional burden on states
but will substantially improve the utility of the NQDW data to identify
use of state quitlines by key tobacco use populations. Finally, CDC
proposes to add a question about the language in which quitline
services are provided. This question would not be a question posed to
callers, but would be recorded by the quitline service provider.
(3) In 2012, CDC discontinued data collection for the NQDW Seven-
Month Follow-up Survey. During the three year period of this Revision
request, the NQDW Seven-Month Follow-up Questionnaire will be
collected, but only for callers who receive services through the Asian
Smokers' Quitline. Should the need arise in the future to resume
collecting seven-month follow-up data from all callers, an additional
Revision request will be submitted to OMB.
Participation in the caller intake and follow-up interviews is
voluntary for quitline callers. The estimated burden is 10 minutes for
a complete intake call conducted with an individual who calls on their
own behalf. The estimated burden is one minute for a caller who
requests information for someone else, as these callers complete only a
subset of questions on the intake questionnaire. The estimated burden
per response for the Seven-Month Follow-Up Questionnaire is seven
minutes.
As a condition of funding, the 54 cooperative agreement awardees
are required to submit a quarterly services survey. CDC recognizes that
awardees incur additional burden for preparing and transmitting summary
files with their de-identified caller intake and follow-up data. This
burden is acknowledged in the instructions for transmitting the
electronic data files. There is a net decrease in burden, primarily due
to discontinuation of the Seven-Month Follow-Up Questionnaire for the
majority of callers.
All information will be submitted to CDC electronically. There are
no costs to respondents other than their time.
[[Page 32385]]
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average Total
Number of responses burden per burden
Type of respondents Form name respondents per response (in
respondent (in hrs.) hrs.)
----------------------------------------------------------------------------------------------------------------
Quitline callers who contact the NQDW Intake Questionnaire 509,742 1 10/60 84,957
quitline for help themselves. (complete).
Caller who contacts the quitline on NQDW Intake Questionnaire 26,902 1 1/60 448
behalf of someone else. (subset).
Quitline caller who received a NQDW 7-Month Follow-Up 659 1 7/60 77
quitline service from the Asian Questionnaire.
Smokers' quitline.
Tobacco Control Manager or Their Instructions for 54 4 1 216
Designee. Submitting NQDW Intake 1 1 1 1
Questionnaire Electronic
Data File to CDC.
Instructions for
Submitting NQDW 7-Month
Follow-up Electronic Data
File to CDC.
NQDW Quitline Services 54 4 20/60 72
Survey.
----------------------------------------------------------------------------
Total.......................... .......................... ........... ........... ........... 85,771
----------------------------------------------------------------------------------------------------------------
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. 2015-13849 Filed 6-5-15; 8:45 am]
BILLING CODE 4163-18-P