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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices

the second leading cause of death from
cancer in the United States. CRC
screening has been shown to reduce
incidence of and death from the disease.
Screening for CRC can detect disease
early when treatment is more effective
and prevent cancer by finding and
removing precancerous polyps. Of
individuals diagnosed with early stage
CRC, more than 90% live five or more
years. Despite strong evidence
supporting screening, only 65% of
adults currently report being up-to-date
with CRC screening as recommended by
the U.S. Preventive Services Task Force,
with more than 22 million age-eligible
adults estimated to be untested. To
reduce CRC morbidity, mortality, and
associated costs, use of CRC screening
tests must be increased among ageeligible adults with the lowest CRC
screening rates.
CDC’s Colorectal Cancer Control
Program (CRCCP) currently provides
funding to 31 grantees under
‘‘Organized Approaches to Increase
Colorectal Cancer Screening’’ (CDC–
RFA–DP15–1502). CRCCP grantees
include state governments or bona-fide
agents, universities, and tribal
organizations. The purpose of the new
cooperative agreement program is to

RFA–DP15–1502) requires that CDC
monitor and evaluate the CRCCP and
individual grantee performance using
both process and outcome evaluation.
Two forms of data collection are
proposed. First, the CRCCP grantee
survey was redesigned to align with
new CRCCP goals. The grantee survey
will be submitted to CDC annually.
Second, CDC proposes to collect cliniclevel data to assess changes in CDC’s
primary outcome of interest, i.e., CRC
screening rates within partner health
systems. Each grantee will complete a
clinic-level data template once per
month. All information will be reported
to CDC electronically.
The information collection will
enable CDC to gauge progress in meeting
CRCCP program goals and to monitor
implementation activities, evaluate
outcomes, and identify grantee technical
assistance needs. In addition, findings
will inform program improvement and
help identify successful activities that
need to be maintained, replicated, or
expanded.
OMB approval is requested for three
years. Participation is required for
CRCCP awardees. There are no costs to
respondents other than their time.

increase CRC screening rates among an
applicant defined target population of
persons 50–75 years of age within a
partner health system serving a defined
geographical area or disparate
population.
The CRCCP was significantly
redesigned in 2015 and has two
components. Under Component 1, all 31
CRCCP grantees receive funding to
support partnerships with health
systems to implement up to four priority
evidence-based interventions (EBIs)
described in the Guide to Community
Preventive Services, as well as other
supporting strategies. Grantees must
implement at least two EBIs in each
partnering health system. Under
Component 2, 6 of the 31 CRCCP
grantees will provide direct screening
and follow-up clinical services for a
limited number of individuals aged 50–
64 in the program’s priority population
who are asymptomatic, at average risk
for CRC, have inadequate or no health
insurance for CRC screening, and are
low income
Based on the redesigned CRCCP, the
information collection plan has also
been redesigned to address the two
program components. The new
cooperative agreement program (CDC–

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Average
burden per
response
(in hr)

Total burden
(in hr)

Form name

CRCCP Grantees .........................................

CRCCP Annual Grantee Survey.
CRCCP Clinic-level Data
Collection Template.

31

1

45/60

23

31

12

30/60

186

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

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

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

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

209

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

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.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

[FR Doc. 2016–00939 Filed 1–19–16; 8:45 am]

[60 Day–16–1061; Docket No. CDC–2016–
0008]

BILLING CODE 4163–18–P

Centers for Disease Control and
Prevention

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

tkelley on DSK4VPTVN1PROD with NOTICES

Number of
responses per
respondent

Type of respondent

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

SUMMARY:

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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 Behavioral Risk Factor
Surveillance System (BRFSS), a statelevel survey of health risk behaviors and
chronic health conditions. Survey
questions are updated each year. The
information collection is being revised
to incorporate an annual field test of
proposed changes prior to their
implementation on a broad scale.
Written comments must be
received on or before March 21, 2016.

DATES:

You may submit comments,
identified by Docket No. CDC–2016–
0008 by any of the following methods:

ADDRESSES:

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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices
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.

tkelley on DSK4VPTVN1PROD with NOTICES

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,

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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
Behavioral Risk Factor Surveillance
System (BRFSS) (OMB No. 0920–1061,
exp. 3/31/2018)—Revision—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Behavioral Risk Factor
Surveillance System (BRFSS) is a CDCsponsored system of cross-sectional
telephone health surveys concerning
individual health risk behaviors, health
conditions, and preventive health
practices that are associated with
chronic diseases, infectious diseases,
and injury. The BRFSS is administered
annually by health departments in
states, territories, and the District of
Columbia (collectively referred to as
states). An independent sample of
respondents is drawn for each state. The
system is designed to produce
information that is specific to the public
health needs of each participating
jurisdiction, and for many is the only
source of health risk data amenable to
their uses. Although national estimates
of some health risk behaviors are
available, the methods used to produce
national estimates do not typically
produce the type of detailed information
needed to plan and implement public
health programs; moreover, national
estimates provide only limited insight
into regional or state-specific variability
in health status and risk factors. Over
time the BRFSS has developed into an
important data collection system that
federal agencies rely on for state and
local health information and to track
national health objectives such as
Healthy People. Through the BRFSS
partnership, CDC has established
standard protocols for BRFSS data
collection which all states are

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3141

encouraged to adopt. These standards
allow for state-to-state data comparisons
as well as comparisons over time.
The BRFSS questionnaire is based on
modular design principles to
accommodate a variety of state-specific
needs within a common framework. All
participating states are required to
administer a standardized core
questionnaire which provides a set of
shared health indicators for all BRFSS
partners. The BRFSS core questionnaire
consists of fixed core, rotating core, and
emerging core questions. Fixed core
questions are asked every year. Rotating
core questions cycle on and off the core
questionnaire during even or odd years,
depending on the question. Emerging
core questions are included in the core
questionnaire as needed to collect data
on urgent or emerging health topics
such as influenza.
In addition, the BRFSS includes a
series of optional modules on a variety
of topics. In off-years when the rotating
questions are not included in the core
questionnaire, they are offered to states
as an optional module. This framework
allows each state to produce a
customized BRFSS survey by appending
selected optional modules to the core
survey. States may select which, if any,
optional modules to administer. As
needed, CDC provides technical and
methodological assistance to state
BRFSS coordinators in the construction
of their state-specific surveys.
The CDC and BRFSS partners produce
a new set of state-specific BRFSS
questionnaires each calendar year (i.e.,
2016 BRFSS questionnaires, 2017
BRFSS questionnaires, etc.). CDC
submits an annual Change Request to
OMB outlining updates to the BRFSS
core survey and optional modules that
have occurred since the previous year.
Each state administers its BRFSS
questionnaire throughout the calendar
year. The BRFSS partnership thus
results in a flexible, coordinated
information collection system that is
adaptive to national and state-specific
needs.
The current estimated average burden
for the core BRFSS interview is 15
minutes. For the optional modules, the
estimated average burden per response
varies by state and year, but is currently
estimated at an additional 15 minutes.
Finally, the BRFSS allows states to
customize some portions of the
questionnaire through the addition of
state-added questions, which are neither
reviewed nor approved by the CDC.
State-added questions are not included
in CDC’s burden estimates.
CDC periodically updates the BRFSS
core survey and optional modules as
new modules or emerging core

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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices

questions are adopted. The purpose of
this Revision request is to incorporate
field testing into the approved
information collection plan.
Field testing is the final check of
changes in the questionnaire which
have occurred in the preceding year.
Field testing is conducted in a manner
that mimics the full-scale project
protocol, to the degree that is feasible.
Field testing is the final means by which
changes are made in data collection
methods and data collection software is
tested. Field tests are used to identify
problems with instrument
documentation or instructions,
problems with conditional logic (e.g.,
skip patterns), software errors or other
implementation and usability issues.
Field testing is conducted with all new
modules, emerging core questions,
sections which precede and/or follow
any new or changed items and extant
sections which are topically related.
This testing is conducted to ensure that
questions are not perceived as

interview, approximately 400
respondents per year will be determined
ineligible or will decline to participate.
The estimated burden per response for
these respondents is one minute. An
additional 500 respondents will
participate in both the screening
interview and the actual field test. The
estimated burden for these respondents
is 45 minutes. In years when fewer new
questions and/or changes are proposed
to the BRFSS questionnaire, field testing
will impose a lesser burden. The revised
total annualized estimates are 1,644,127
responses and 265,125 burden hours.
Information collection is conducted
primarily to support state and local
health departments, which plan and
evaluate public health programs at the
state or sub-state level. Information
collected through the BRFSS is also
used by the federal government and
other entities. Participation in the
BRFSS and its field test is voluntary and
there are no costs to respondents other
than their time.

redundant or overlapping. Extant
sections of the questionnaire unrelated
to new items do not require testing. The
demographic questions on the core
BRFSS survey are included on each
field test.
Since the field test instrument
changes annually, it will be submitted
to OMB for approval as an additional
Change Request prior to
implementation. Field tests are typically
conducted in a single state with
appropriate computer-assisted
telephone interview (CATI) capability.
Individuals who participate in field
testing are drawn from a different
sample than individuals who participate
in the BRFSS surveys.
The BRFSS was initially approved
with annualized estimates of 1,643,227
responses and 255,915 burden hours
inclusive of the core survey and
optional modules. CDC is requesting an
additional allocation of 900 responses
and 9,210 burden hours to conduct the
annual field test. After a brief screening

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hr)

Total burden
(in hr)

Form name

U.S. General Population ...............................

Landline Screener ................
Cell Phone Screener ............
Field Test Screener ..............
BRFSS Core Survey ............

440,486
223,334
400
494,650

1
1
1
1

1/60
1/60
1/60
15/60

7,341
3,722
7
123,662

BRFSS Optional Modules ....
Field Test Survey .................
...............................................

484,757
500

1
1

15/60
45/60

121,189
375
256,296

Annual Survey Respondents(Adults >18
Years).
Field Test Respondents(Adults >18 Years)
Total .......................................................

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. 2016–00938 Filed 1–19–16; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–16–16JO; Docket No. CDC–2016–
0005]

tkelley on DSK4VPTVN1PROD with NOTICES

Number of
respondents

Type of respondents

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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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 information
collect project entitled ‘‘The Pregnancy
Risk Assessment Surveillance System’’.
DATES: Written comments must be
received on or before March 21, 2016.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2016–
0005 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
SUMMARY:

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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].

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