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Federal Register / Vol. 79, No. 83 / Wednesday, April 30, 2014 / Notices
the doctor responded to the parent’s
concerns and whether the child
accessed screening, diagnostic and
treatment services. We estimate each
parent will return to the clinic twice
during the study for activities such as
WIC eligibility re-certification. This
offers the opportunity to track referral
outcomes over time. The Referral
Outcome Tracking Form will be
completed twice by the same 100
parent/guardian respondents.
In Phase 3, two measures will
evaluate the WIC staff’s response to the
study to help determine program and
message improvements, feasibility and

programming and establish the
estimated time required to complete this
data collection process.
The estimate for burden hours is
based on the number of questions
included in the questionnaires, as well
as survey pre-testing to determine the
typical length of time for completion. To
obtain maximum potential burden
estimates, we did not factor in attrition
during the course of the study but rather
assumed that all participants would
complete all measures.
The total estimated burden is 255
hours. There is no cost to respondents
other than their time.

sustainability. An online survey will
assess staff perceptions of factors such
as key elements, such as ease of use,
time requirements and perceived impact
on children and families. The WIC
Developmental Milestones Staff Survey
will be completed by 47 WIC staff
members who work in the WIC clinics
in the 9 sites where the project will be
implemented. Each staff member also
will be sent an email invitation to attend
one 60-minute focus group meeting.
This will allow for further clarification
of the group’s response. WIC staff
members have provided feedback to
refine questions, ensure accurate

ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden per
response
(in hours)

Total burden
hours

Form name

Parents/guardians of children receiving WIC enrolled in Phase 1.

Pre-Intervention Survey ...................

450

1

10/60

75

Post-Intervention Survey ..................
Referral Outcome Tracking Form ....

450
100

1
2

10/60
15/60

75
50

47

1

10/60

8

WIC staff enrolled in Phase 3 ...........

WIC
Developmental
Milestones
Staff Survey.
Focus Group Questions ...................

47

1

1

47

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

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

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

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

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

255

Parents/guardians of children enrolled in Phase 2.
WIC staff enrolled in Phase 3 ...........

LeRoy 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. 2014–09768 Filed 4–29–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–14–14VS]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

mstockstill on DSK4VPTVN1PROD with NOTICES

Number of
responses per
respondent

Number of
respondents

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
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Leroy Richardson, at 1600

VerDate Mar<15>2010

17:41 Apr 29, 2014

Jkt 232001

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
Developmental Studies to improve the
National Health Care Surveys—New—
National Center for Health Statistics
(NCHS), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes the Secretary of
Health and Human Services (DHHS),
acting through the Division of Health

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Care Statistics (DHCS) within NCHS,
shall collect statistics on the extent and
nature of illness and disability of the
population of the United States.
The DHCS conducts the National
Health Care Surveys, a family of
nationally representative surveys of
encounters and health care providers in
inpatient, outpatient, and long-term care
settings. This information collection
request (ICR) is for a new generic to
conduct developmental studies to
improve this family of surveys. This
three year clearance period will include
studies to evaluate and improve upon
existing survey design and operations,
as well as to examine the feasibility of,
and address challenges that may arise
with, future expansions of the National
Health Care Surveys.
Specifically, this request covers
developmental research with the
following aims: (1) To explore ways to
refine and improve upon existing survey
designs and procedures; and (2) to
explore and evaluate proposed survey
designs and alternative approaches to
data collection. The goal of these
research studies is to further enhance
DHCS existing and future data
collection protocols to increase research
capacity and improve health care data
quality for the purpose of monitoring
public health and well-being at the

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Federal Register / Vol. 79, No. 83 / Wednesday, April 30, 2014 / Notices

national, state and local levels, thereby
informing health policy decisionmaking process. The information
collected through this generic ICR will
not be used to make generalizable
statements about the population of
interest or to inform public policy;
however, methodological findings may
be reported.
This generic ICR would include
studies conducted in person, via the
telephone or internet, and by postal or
electronic mail. Methods covered would
include qualitative (e.g., usability
testing, focus groups, ethnographic
studies, and respondent debriefing
questionnaires) and/or quantitative (e.g.,
pilot tests, pre-tests and split sample
experiments) research methodologies.
Examples of studies to improve existing
survey designs and procedures may
include evaluation of incentive
approaches to improve recruitment and
increase participation rates; testing of
new survey items to obtain additional
data on providers, patients, and their
encounters while minimizing
misinterpretation and human error in
data collection; testing data collection in
panel surveys; triangulating and
validating survey responses from
multiple data sources; assessment of the
feasibility of data retrieval; and
development of protocols that will
locate, identify, and collect accurate
survey data in the least labor-intensive
and burdensome manner at the sampled
practice site.
To explore and evaluate proposed
survey designs and alternative
approaches to collecting data, especially
with the nationwide adoption of
electronic health records, studies may
expand the evaluation of data extraction
of electronic health records and
submission via continuity of care

documentation to small/mid-size/large
medical providers and hospital
networks, managed care health plans,
prison-hospitals, and other inpatient,
outpatient, and long-term care settings
that are currently either in-scope or outof-scope of the National Health Care
Surveys. Research on feasibility, data
quality and respondent burden also may
be carried out in the context of
developing new surveys of health care
providers and establishments that are
currently out-of-scope of the National
Health Care Surveys.
Specific motivations for conducting
developmental studies include: (1)
Within the National Ambulatory
Medical Care Survey (NAMCS), new
clinical groups may be expanded to
include dentists, psychologists,
podiatrists, chiropractors, optometrists),
mid-level providers (e.g., physician
assistants, advanced practice nurses,
nurse practitioners, certified nurse
midwives) and allied-health
professionals (e.g., certified nursing
aides, medical assistants, radiology
technicians, laboratory technicians,
pharmacists, dieticians/nutritionists).
Current sampling frames such as those
from the American Medical Association
may be obtained and studied, as well as
frames that are not currently in use by
NAMCS, such as state and
organizational listings of other licensed
providers. (2) Within the National Study
of Long-Term Care Providers, additional
new frames may be sought and
evaluated and data items from home
care agencies, long-term care hospitals,
and facilities exclusively serving
individuals with intellectual/
developmental disability may be tested.
Similarly, data may be obtained from
lists compiled by states and other

organizations. Data about the facilities
as well as residents and their visits will
be investigated. (3) In the inpatient and
outpatient care settings, the National
Hospital Care Survey (NHCS) and the
National Hospital Ambulatory Medical
Care Survey (NHAMCS) may investigate
the addition of facility and patient
information especially as it relates to
insurance and electronic medical
records.
The National Health Care Surveys
collect critical, accurate data that are
used to produce reliable national
estimates—and in recent years, statelevel estimates—of clinical services and
of the providers who delivered those
services in inpatient, outpatient,
ambulatory, and long-term care settings.
The data from these surveys are used by
providers, policy makers and
researchers to address important topics
of interest, including the quality and
disparities of care among populations,
epidemiology of medical conditions,
diffusion of technologies, effects of
policies and practice guidelines, and
changes in health care over time.
Research studies need to be conducted
to improve existing and proposed
survey design and procedures of the
National Health Care Surveys, as well as
to evaluate alternative data collection
approaches particularly due to the
expansion of electronic health record
use, and to develop new sample frames
of currently out-of-scope providers and
settings of care. There is no cost to
respondents other than their time to
participate. Average burdens are
designed to cover 15–40 minute
interviews as well as 90-minute focus
groups, longer on-site visits, and
situations where organizations may be
preparing electronic data files.

mstockstill on DSK4VPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Health Care Providers and Business
entities.
Health Care Providers, State/local
government agencies, and business entities.

Interviews, surveys, focus groups,
experiments (in person, phone,
internet, postal/electronic mail).
Interviews, surveys, focus groups,
experiments (in person, phone,
internet, postal/electronic mail).

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

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

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Number of
responses per
respondent

Average
burden
per response
(in hours)

18,000

1

1

500

1

2.5

1,250

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

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

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

19,250

Number of
respondents

Type of respondents

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Total
burden
(in hours)
18,000

Federal Register / Vol. 79, No. 83 / Wednesday, April 30, 2014 / Notices
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. 2014–09767 Filed 4–29–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–14–14VU]

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 Leroy Richardson,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to omb@
cdc.gov.
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.

mstockstill on DSK4VPTVN1PROD with NOTICES

Proposed Project
Promoting Adolescent Health
Through School-Based HIV/STD
Prevention—New—National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention (NHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
Many young people engage in sexual
behaviors that place them at risk for HIV
infection, other sexually transmitted
diseases (STD), and pregnancy.

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According to the 2011 National Youth
Risk Behavior Survey (YRBS) results,
47% of U.S. high school students never
had sexual intercourse; 34% had sexual
intercourse with at least one person
during the 3 months before the survey;
and 15% had had sexual intercourse
with four or more persons during their
lifetime. Of those sexually active high
school students, 40% reported that
either they or their partner had not used
a condom during last sexual intercourse,
and 77% reported that either they or
their partner had not used birth control
pills or Depo-Provera (or any injectable
birth control), Nuva Ring (or any birth
control ring), Implanon (or any
implant), or any intrauterine device
(IUD) before last sexual intercourse.
Establishing healthy behaviors during
childhood and adolescence is easier and
more effective than trying to change
unhealthy behaviors during adulthood.
Since 1987, the Division of Adolescent
and School Health (DASH), which is
now a part of the National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention, Centers for Disease Control
and Prevention (CDC), has been a
unique source of support for HIV
prevention efforts in the Nation’s
schools.
CDC requests Office of Management
and Budget (OMB) approval to collect
data over a three-year period from
funded agencies under award PS13–
1308: Promoting Adolescent Health
through School-Based HIV/STD
Prevention and School-Based
Surveillance. Funded agencies include
non-governmental organizations, state
education agencies, and local education
agencies. The primary purpose of PS–
13–1308 is to build the capacity of
priority districts and priority schools to
effectively contribute to the reduction of
HIV infection and other STD among
adolescents; the reduction of disparities
in HIV infection and other STD
experienced by specific adolescent subpopulations; and the conducting of
school-based surveillance, a component
not included in this data collection for
evaluation.
CDC will be using a web-based system
to collect data on the approaches that
funded agencies are using to meet their
goals. Approaches include helping
districts and schools deliver exemplary
sexual health education emphasizing
HIV and other STD prevention;
increasing adolescent access to key
sexual health services; and establishing
safe and supportive environments for
students and staff.
To track funded agency progress and
evaluate the effectiveness of program
activities, CDC will be collecting data
using a mix of process and performance

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24437

measures. Process measures, which will
be completed by all funded agencies, are
important to assess the extent to which
planned program activities have been
implemented and lead to feasible and
sustainable programmatic outcomes.
Process measures include items on
school health policy assessment and
monitoring, and on providing training
and technical assistance to partner
education agencies and schools.
Performance measures, which will be
completed by only state and local
education agencies, assess whether
funded activities at each site are leading
to intended outcomes including public
health impact of systemic change in
schools. These measures drove the
development of questionnaires that have
been tailored to each funded agencies’
approach (i.e., exemplary sexual health
education, sexual health services, and
safe and supportive environments).
Respondents include 19 state
education agencies, 17 local education
agencies, and 6 non-governmental
organizations that have all been funded
under PS13–1308. The questionnaires
will be submitted to CDC semi-annually
using the Program Evaluation and
Reporting System, an electronic webbased interface specifically designed for
this data collection.
Each funded agency will receive a
unique log-in to the system and
technical assistance to ensure they can
use the system easily. The dates when
data are requested reflect Procurement
and Grants Office deadlines to provide
timely feedback to funded agencies and
CDC staff for accountability and optimal
use of funds. CDC anticipates that semiannual information collection will begin
in October 2014 and will describe
activities conducted during the period
August 2014–July 2017.
The estimated burden per response
ranges from 0.5 hours to 6 hours. This
variation in burden is due to the
variability in the questions on the forms
based on the approach and type of
funded agency. For instance, nongovernmental organizations have fewer
questions to respond to because they
only have questions for process
evaluation. Local education agencies
have the highest burden because it takes
more time to gather information as they
gather data at the school- and studentlevel as compared with state education
agencies that report only state- and
district-level data. Annualizing this
collection over three years results in an
estimated annualized burden of 820
hours for all funded agencies.
There are no costs to respondents
other than their time.

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