60d FRN - published

Att 2_60-Day FRN.pdf

ASSESSING THE INFRASTRUCTURE FOR PUBLIC STD PREVENTION SERVICES

60d FRN - published

OMB: 0920-1210

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12357

Federal Register / Vol. 82, No. 40 / Thursday, March 2, 2017 / Notices
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

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

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
Type of respondents

Form name

Women aged 30–62 who previously received services in the NBCCEDP .......

Screener ......
Survey .........

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]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–17NS; Docket No. CDC–2017–
0009]

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:

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

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SUMMARY:

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required by the Paperwork Reduction
Act of 1995. This notice invites
comment on the proposed information
collection project titled ‘‘Assessing the
Infrastructure for Public Sexually
Transmitted Disease (STD) Prevention
Services.’’ The primary goal of this
study is to periodically monitor (i.e.,
every 3 years) STD preventive and
treatment services provided by local and
state health departments. This will
allow CDC to understand the delivery of
timely public STD preventive and
treatment services to reduce the number
of newly acquired STDs and prevent
STD-related sequelae.
DATES: Written comments must be
received on or before May 1, 2017.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2017–
0009 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.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

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Number of
respondents
3,228
2,338

Average
burden per
response
(in hours)

Responses
per
respondent
1
1

5/60
25/60

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.

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
FOR FURTHER INFORMATION CONTACT:

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Federal Register / Vol. 82, No. 40 / Thursday, March 2, 2017 / Notices

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,
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
Assessing the Infrastructure for Public
Sexually Transmitted Disease (STD)
Prevention Services—NEW—National

contacts and surveillance activities.
However, there is no national survey
that periodically collects detailed
information on STD practices of
physicians who typically see STD
patients.
Given the changing US healthcare
system and reductions in public health
funding, it is important to periodically
assess the current level of publiclyfunded STD prevention services that are
offered by health departments in the US.
The mission of the STD prevention at
CDC is ‘‘to provide national leadership,
research, policy development, and
scientific information to help people
live safer, healthier lives by the
prevention of STDs and their
complications.’’ A major component of
this objective is delivering timely STD
preventive and treatment services to
reduce the number of newly acquired
STDs and prevent STD-related sequelae.
The Division of Sexually Transmitted
Diseases Prevention (DSTDP) at CDC is
seeking a three-year approval from the
OMB to conduct a new information
collection. This assessment would allow
CDC to periodically monitor STD
preventive and treatment services
provided by local and state health
departments.
Information collected will include
STD program structure, public STD
clinical services, STD partner services,
other STD prevention services such as
surveillance and health promotion, and
STD program workforce and impact of
budget cuts on STD services.
The web survey will be sent by email
to a sample of local health departments
and all state health departments (with
two reminder letters).
There is no cost to respondents.

Center for HIV/AIDS, Viral Hepatitis,
STD, and TB Prevention (NCHHSTP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
A significant percentage of reported
cases of STDs are diagnosed in publicly
funded clinics, such as STD clinics.
Specifically, past research has shown
that a substantial proportion of HIV
(10% or more), primary and secondary
syphilis (14%–48%), gonorrhea (13%–
41%), and chlamydia (6%–28%) are
diagnosed in public STD clinics. These
public clinics often serve uninsured and
under insured populations. The
Congressional Budget Office estimates
10% of the nonelderly population will
remain uninsured in the US through
2023. Additionally, over half of patients
who visit STD clinics cited low cost as
a reason for choosing STD clinics for
care in a 1995 survey. Because a
continued role for STD clinics is likely
to exist as a safety net while the US
healthcare market evolves,
understanding the current level of STD
services, funding, and staffing levels is
important. No recent published studies
have provided this information on a
national scale.
A 2012 conference presentation noted
the experience of one state, which
stopped funding for STD clinics in
2009. A 2013 national survey of local
health departments (LHDs) found gaps
and reductions in public STD services,
including in clinical services that are
important to reduce disease
transmission. The study also found that
STD programs in local and state health
departments (SHDs) often provide HIV
services such as HIV field testing of STD

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Average
burden per
response
(in hours)

Number of
responses per
respondent

Total burden
(in hours)

Type of respondents

Form name

STD program director, LHDs ............
STD program director, SHDs ............

LHD survey ......................................
SHD survey ......................................

334
44

1
1

19/60
19/60

106
14

Total Annual Burden Hours .......

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

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

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

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

120

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. 2017–04044 Filed 3–1–17; 8:45 am]
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