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Federal Register / Vol. 77, No. 61 / Thursday, March 29, 2012 / Notices

While screening rates have increased
over the past decade, screening
prevalence is still lower than desirable,
particularly among individuals with low
socioeconomic status. The indirect and
non-medical costs associated with CRC
screening, such as travel costs, may act
as barriers to screening. Understanding
these costs may provide insights that
can be used to reduce such barriers and
increase participation.
In 2005, CDC established a four-year
demonstration program at five sites to
screen low-income individuals aged 50–
64 years who had no health insurance
or inadequate health insurance for CRC.
In 2009, by applying lessons learned
from the demonstration program, CDC
designed and initiated the larger
population-based Colorectal Cancer
Control Program (CRCCP) at 29 sites.
The goals of the expanded program are
to reduce health disparities in CRC
screening, incidence and mortality by
promoting CRC screening for the eligible
population and providing CRC
screening to low-income adults over 50
years of age who have no health
insurance or inadequate health
insurance for CRC screening.
To date there has been no
comprehensive assessment of all the
costs associated with CRC screening,
especially indirect and non-medical
costs, incurred by the low-income
population served by the CRCCP. CDC

proposes to address this gap by
collecting information from a subset of
patients enrolled in the program. Those
who undergo screening by FIT or
colonoscopy will be asked to complete
a specialized questionnaire about the
time and personal expense associated
with their screening. Patients who
undergo fecal immunochemical testing
will be asked to complete the FIT
questionnaire, which is estimated to
take about 10 minutes. Patients who
undergo colonoscopy will be asked to
complete the Colonoscopy
questionnaire, which includes
additional questions about the
preparation and recovery associated
with this procedure. The estimated
burden per response for the
Colonoscopy questionnaire is 25
minutes. Demographic information will
be collected from all patients who
participate in the study. Participation in
the study is voluntary, but patients will
be offered an incentive in the form of a
gift card.
CDC plans to conduct the information
collection in partnership with providers
in five states (Alabama, Arizona,
Colorado, New York, and Pennsylvania).
Each provider site will administer the
survey until it reaches a target number
of responses. Targets for each site range
between 75 and 150 completed
questionnaires, depending on the
volume of patients screened. Each

participating provider will make patient
navigators available to assist patients
with coordinating the screening process
and completing the questionnaires.
Providers will be reimbursed for patient
navigator time and administrative
expense associated with data collection.
Across the five participating sites, the
estimated cost of this data collection is
approximately $50,000.
This information collection will be
used to produce estimates of the
personal costs incurred by patients who
undergo CRC screening by FIT or
colonoscopy, and to improve
understanding of these costs as potential
barriers to participation. Study findings
will be disseminated through reports,
presentations, and publications. Results
will also be used by participating sites,
CDC, and other federal agencies to
improve delivery of CRC screening
services and to increase screening rates
among low-income adults over 50 years
of age who have no health insurance or
inadequate health insurance for CRC
screening.
OMB approval is requested for one
year. Each respondent will have the
option of completing a hardcopy
questionnaire or an on-line
questionnaire. No identifiable
information will be collected by CDC or
CDC’s data collection contractor. There
are no costs to respondents other than
their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Average
burden per
response
(in hours)

Total burden
(in hours)

Form type

Patients Served by the Colorectal
Cancer Control Program.

FIT questionnaire .............................

300

1

10/60

50

Colonoscopy questionnaire ..............

315

1

25/60

131

...........................................................

........................

........................

........................

181

Total ...........................................

Dated: March 23, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science (OADS),
Office of the Director, Centers for Disease
Control and Prevention.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–12–0040]

[FR Doc. 2012–7534 Filed 3–28–12; 8:45 am]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

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Number of
responses
per
respondent

Type of respondent

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To

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request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Ron Otten, at CDC
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to
[email protected].
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

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Federal Register / Vol. 77, No. 61 / Thursday, March 29, 2012 / Notices
collected; and (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. Written comments should
be received within 60 days of this
notice.
Proposed Project
NCEH/ATSDR Exposure
Investigations (EIs) [OMB NO: 0923–
0040, Expiration Date 11/30/2012]—
Revision—The National Center for
Environmental Health (NCEH), and the
Agency for Toxic Substances and
Disease Registry (ATSDR), and the
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
This is a brief summary of a joint
clearance between the NCEH and
ATSDR, (hereafter ATSDR will
represent both ATSDR and NCEH).
ATSDR is mandated pursuant to the
1980 Comprehensive Environmental
Response, Compensation, and Liability
Act (CERCLA) and its 1986
Amendments, the Superfund
Amendments and Reauthorization Act
(SARA) to prevent or mitigate adverse
human health effects and diminished
quality of life resulting from the
exposure to hazardous substances in the
environment. EIs are an approach
developed by ATSDR that employs
targeted biologic (e.g., urine, blood, hair
samples) and environmental (e.g., air,
water, soil, or food) sampling to
determine whether people are or have
been exposed to unusual levels of
pollutants at specific locations (e.g.,

revision of our approval for use of a set
of 61 general information questions.
ATSDR also collects information on
other possible confounding sources of
chemical(s) exposure such as medicines
taken, foods eaten, hobbies, jobs, etc. In
addition, ATSDR asks questions on
recreational or occupational activities
that could increase a participant’s
exposure potential. That information
represents an individual’s exposure
history. To cover those broad categories,
ATSDR is also seeking a revision to our
approval for the use of sets of topical
questions. Of these, we use
approximately 12–20 questions about
the pertinent environmental exposures
per investigation. This number can vary
depending on the number of chemicals
being investigated, the route of exposure
(e.g., breathing, eating, touching), and
number of other sources of the
chemical(s) (e.g., products used, jobs).
Typically, the number of participants
in an individual EI ranges from 10 to
100. Questionnaires are generally
needed in less than half of the EIs
(approximately 7 per year).
The subject matter for the complete
set of topical questions includes the
following:
(1) Media specific which includes: Air
(indoor/outdoor); water (water source
and plumbing); soil, and food
(gardening, fish, game, domestic
animals (e.g., chickens).
(2) Other sources such as:
occupations; hobbies; household
chemical uses and house construction
characteristics; lifestyle (e.g., smoking);
medicines and/or health conditions, and
foods. There are no costs to respondents
other than their time.

where people live, spend leisure time,
or anywhere they might come into
contact with contaminants under
investigation). After a chemical release
or suspected release into the
environment, ATSDR’s EIs are used by
public health professionals,
environmental risk managers, and other
decision makers to determine if current
conditions warrant intervention
strategies to minimize or eliminate
human exposure. EIs are usually
requested by officials of a state health
agency, county health departments, the
Environmental Protection Agency, the
general public, and ATSDR staff.
ATSDR has been conducting EIs since
1995 throughout the United States. All
of ATSDR’s biomedical assessments and
some of the environmental
investigations involve participants.
Participation is completely voluntary.
To assist in interpreting the sampling
results, a survey questionnaire
appropriate to the specific contaminant
is administered to participants. ATSDR
collects contact information (e.g., name,
address, phone number) to provide the
participant with their individual results.
Name and address information are
broken into nine separate questions
(data fields) for computer entry. General
information, which includes height,
weight, age, race, gender, etc., is also
collected primarily on biomedical
investigations to assist with results
interpretation. General information can
account for approximately 20 questions
per investigation. Some of this
information is investigation-specific; not
all of this data is collected for every
investigation. ATSDR is seeking a

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Respondents

Exposure Investigation Participants ................................................................

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Dated: March 23, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science (OADS),
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–7531 Filed 3–28–12; 8:45 am]
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Average
burden per
response
(in hours)
30/60

Total burden
(in hours)
350

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Control and Prevention (CDC),
announces the following meeting of the
aforementioned committee:

Centers for Disease Control and
Prevention

Time and Date: 11 a.m.–3 p.m., April 26,
2012.
Place: Audio Conference Call via FTS
Conferencing. The USA toll-free, dial-in
number is 1 (866) 659–0537 and the pass
code is 9933701.
Status: Open to the public, but without a
verbal public comment period. Written
comment should be provided to the contact
person below in advance of the meeting.
Background: The Advisory Board was
established under the Energy Employees
Occupational Illness Compensation Program

Advisory Board on Radiation and
Worker Health (ABRWH or Advisory
Board), National Institute for
Occupational Safety and Health
(NIOSH)
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease

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