[Federal Register Volume 82, Number 40 (Thursday, March 2, 2017)]
[Notices]
[Pages 12356-12357]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04043]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-17-16AWP]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies' estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to [email protected]. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.
Proposed Project
Women's Preventive Health Services Study--New--National Center for
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The National Breast and Cervical Cancer Early Detection Program
(NBCCEDP) provides free or low-cost breast and cervical cancer
screening and diagnostic services to low-income, uninsured, and
underserved women. The NBCCEDP is an organized screening program with a
full complement of services including outreach and patient education,
patient navigation, case management, professional development, and
tracking and follow-up that contribute to the program's success.
Compared to when the NBCCEDP was established, more women are eligible
for insurance coverage but there are still many women who are not
insured and many insured women not obtaining preventive services that
they are eligible to receive. Currently, the NBCCEDP not only provides
screening services to uninsured and underinsured, but has expanded its
services to include population-based activities that prevent missed
opportunities and ensure that all women receive appropriate breast and
cervical cancer screening.
Previous research suggests that access to health care through
insurance alone does not ensure adherence to cancer screening, as many
individual, cultural, and community factors serve as barriers to
preventive service use. With recent increases in the numbers of women
who are insured, there is a need to understand the experiences of women
who had been served by the NBCCEDP and become newly insured. This
project will inform the development of future activities of the NBCCEDP
so that all women receive the information and support services needed
for obtaining clinical preventive services.
The purpose of this project is to examine the facilitators and
barriers to receiving clinical preventive services among newly insured
medically underserved women who had previously been served by the
NBCCEDP. The Women's Preventive Services Study aims to survey newly
insured women about what clinical preventive health services they
receive, what barriers and facilitators they experience, and their
ability to maintain consistent health insurance coverage.
While having newly acquired health insurance will improve access to
preventive services, insurance coverage alone would not result in
improved clinical preventive services utilization for all women,
especially among underserved populations. This project proposes to
follow a group of women previously served by the NBCCEDP over three
years by administering a yearly questionnaire.
This study will focus on the following research questions:
1. What are the insurance coverage patterns (e.g., public or
private insurance) for a sample of medically underserved women
previously screened through the NBCCEDP?
2. What barriers and facilitators do these women face in enrolling
in new insurance coverage?
3. What preventive health services, including cancer screening, do
these women receive?
4. What barriers and facilitators do these women face in accessing
[[Page 12357]]
preventive health services through their new coverage?
5. What are the non-financial and financial costs to these women?
The respondents will be uninsured or underinsured women who
previously had been screened through the NBCCEDP but now have health
insurance coverage. To be potentially eligible for the study, women
must be between the ages of 30-62 years, a U.S. Citizen or U.S.
permanent resident, resident of the state where they received NBCCEDP
services, and English or Spanish speaking. Additionally, women must
meet one of the prior screening criteria: (1) Having received a Pap
test through a NBCCEDP state program not less than 1 year but not more
than four years from the time of study implementation OR (2) received a
Pap/HPV co-test through a NBCCEDP grantee not less than three years but
not more than 5 years from the time of study implementation OR (3)
received a mammogram through a NBCCEDP grantee not less than one year
but not more than three years from the time of study implementation.
NBCCEDP state programs will identify potentially eligible women and
consent the women to have their contact information shared for the
study. The women who agree will receive an invitation letter to
participate in the study through an on-line survey. The first step of
the on-line survey will be a set of screener questions to determine
whether they have insurance coverage. Only those who currently have
insurance will be eligible to continue with the main survey instrument.
Women who complete the survey will be asked to repeat the survey
annually the next 2 years.
The sample design proposes that 14,240 women be identified as
eligible. We estimate that 80% will be contacted and agree to
participate. Of that, we expect 9,683 completed on-line screenings to
occur during year one, representing an annualized 3,288 respondents.
With an 85% expected completion rate and annual attrition, we estimate
that 3,292 surveys will be completed in Year 1; 2,222 completed surveys
in Year 2; and 1,500 completed surveys in Year 3. This represents an
annualized 2,338 respondents for the survey.
Participation is voluntary. There are no costs to respondents other
than their time. The total estimated annual burden hours are 1,243.
Estimated Annualized Burden Hours
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Average burden
Type of respondents Form name Number of Responses per per response
respondents respondent (in hours)
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Women aged 30-62 who previously Screener................. 3,228 1 5/60
received services in the NBCCEDP. Survey................... 2,338 1 25/60
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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. 2017-04043 Filed 3-1-17; 8:45 am]
BILLING CODE 4163-18-P