Att 2a - 60 day FRN

ATT 2A 60 Day Federal Register Notice.pdf

Impact Evaluation of CDC's Colorectal Cancer Control Program

Att 2a - 60 day FRN

OMB: 0920-0992

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50696

Federal Register / Vol. 77, No. 163 / Wednesday, August 22, 2012 / Notices

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

Proposed Data Collections Submitted
for Public Comment and
Recommendations
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
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 Kimberly S. Lane,
CDC Reports Clearance Officer, 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
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
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).

A general population survey
administered by telephone with a statebased, 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.
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 personal interviews
with program staff and stakeholder to
gather detailed information about
colorectal cancer screening provision
and promotion efforts. The estimated
burden for each interview is one hour,
although some interviews may be
longer. 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 populationlevel 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 2,393.
There are no costs to respondents other
than their time.

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. 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
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 quasiexperimental, 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 2012 and the second
information collection will be initiated
in 2014. Three types of information will
be collected at each time, including: (1)

mstockstill on DSK4VPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondent

Form name

General Population ...................

Screener for the Colorectal Cancer Population Survey.
Colorectal Cancer Population Survey ......
Colorectal Cancer Screening Practices:
Survey of Primary Care Providers.
Interview Guide: Program Staff for Grantee Program.

General Population ages 50–75
Eligible Primary Care Providers
CRCCP Grantee Program Staff

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16:53 Aug 21, 2012

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Number of
responses per
respondent

Average
burden per
response
(in hr)

Total burden
(in hr)

9,600

1

5/60

800

3,200
1,600

1
1

23/60
12/60

1,227
320

10

1

1.5

15

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50697

Federal Register / Vol. 77, No. 163 / Wednesday, August 22, 2012 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name

CRCCP Grantee Evaluators ....

Interview Guide: Program Evaluator for
Grantee Program.
Interview Guide: Program Staff for Nongrantee Program.
Interview Guide: Program Evaluator for
Nongrantee Program.
Interview Guide: Grantee Partner for
Grantee Program.
Interview Guide: Nongrantee Partner .......

Non-Grantee Program Staff .....
Non-Grantee Evaluator ............
CRCCP State and Local Sector
Partners.
Non-grantee State and Local
Partners.
CRCCP Private Sector Partners.
Non-grantee Private Sector
Partners.
Total ..................................

1

2

10

1

1.5

15

2

1

1

2

4

1

1

4

4

1

1

4

Interview Guide: Grantee Partner for
Grantee Program.
Interview Guide: Nongrantee Partner .......

4

1

1

4

4

1

1

4

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

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

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

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

2,393

clarity of the information to be
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.

[FR Doc. 2012–20619 Filed 8–21–12; 8:45 am]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–12–0696]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

mstockstill on DSK4VPTVN1PROD with NOTICES

Total burden
(in hr)

1

BILLING CODE 4163–18–P

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
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 Kimberly S. Lane,
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

16:53 Aug 21, 2012

Average
burden per
response
(in hr)

2

Dated: August 16, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI),
Office of the Associate Director for Science
(OADS), Office of the Director, Centers for
Disease Control and Prevention.

VerDate Mar<15>2010

Number of
responses per
respondent

Number of
respondents

Type of respondent

Jkt 226001

Proposed Project
National HIV Prevention Program
Monitoring and Evaluation (NHM&E)
(OMB 0920–0696, Expiration 08/31/
2013)—Revision—National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
CDC is requesting a 3-year approval
for revision to the previously approved
project.
The purpose of this revision is to
continue collecting standardized HIV
prevention program evaluation data
from health departments and
community-based organizations (CBOs)
who receive federal funds for HIV
prevention activities. Grantees have the
option of key-entering or uploading data
to a CDC-provided Web-based software
application (EvaluationWeb).
The following changes have occurred
since project 0920–0696 has been
implemented: (1) The previous
reporting system (PEMS) has been
replaced by a more efficient reporting
software. (2) Many data variables that
were previously required or optional but
reported have been deleted in order to
reduce data reporting burden on
grantees. Other variables have been
added or modified to adapt to changes
in HIV prevention and the National
HIV/AIDS Strategic Plan. (3) Reporting

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has been changed from quarterly to
semiannual. (4) The number of grantees
has changed as new FOAs were
awarded.
The evaluation and reporting process
is necessary to ensure that CDC receives
standardized, accurate, thorough
evaluation data from both health
department and CBO grantees. For these
reasons, CDC developed standardized
NHM&E variables through extensive
consultation with representatives from
health departments, CBOs, and national
partners (e.g., The National Alliance of
State and Territorial AIDS Directors,
Urban Coalition of HIV/AIDS
Prevention Services, and National
Minority AIDS Council).
CDC requires CBOs and health
departments who receive federal funds
for HIV prevention to report nonidentifying, client-level and aggregatelevel, standardized evaluation data to:
(1) Accurately determine the extent to
which HIV prevention efforts are carried
out, what types of agencies are
providing services, what resources are
allocated to those services, to whom
services are being provided, and how
these efforts have contributed to a
reduction in HIV transmission; (2)
improve ease of reporting to better meet
these data needs; and (3) be accountable
to stakeholders by informing them of
HIV prevention activities and use of
funds in HIV prevention nationwide.
CDC HIV prevention program grantees
will collect, enter or upload, and report
agency-identifying information, budget
data, intervention information, and
client demographics and behavioral risk
characteristics with an estimate of
200,846 burden hours. Data collection
will include searching existing data
sources, gathering and maintaining data,
document compilation, review of data,

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