Donor Risk Assessment Questionnaire for the FDA/National Heart, Lung, and Blood Institute - Sponsored Transfusion-Transmissible Infections Monitoring System - Risk Factor Elicitation
Donor Risk Assessment
Questionnaire for the FDA/National Heart, Lung, and Blood Institute
- Sponsored Transfusion-Transmissible Infections Monitoring System
- Risk Factor Elicitation
No
material or nonsubstantive change to a currently approved
collection
No
Regular
02/14/2022
Requested
Previously Approved
08/31/2023
08/31/2023
600
600
300
300
0
0
FDA intends to interview blood donors
to collect risk factor information associated with testing positive
for transfusion-transmissible infections (TTI). This collection of
information is part of a larger initiative called
Transfusion-Transmissible Infections Monitoring System (TTIMS),
which is a collaborative project funded by FDA, the NHLBI of the
National Institutes of Health (NIH), and the Department of Health
and Human Services (HHS) Office of the Assistant Secretary of
Health with input from other agencies in HHS including the Centers
for Disease Control and Prevention (CDC). FDA will use these
scientific data collected through such interview-based risk factor
elicitation of blood donors to monitor and help ensure the safety
of the United States blood supply. FDA issued a document entitled
‘‘Revised Recommendations for Reducing the Risk of Human
Immunodeficiency Virus Transmission by Blood and Blood Products,
Guidance for Industry’’ dated December 2015, which changed the
blood donor criterion for men who have sex with men (MSM) from an
indefinite (permanent) deferral to a 12-month deferral since last
MSM contact. The impact of this change in the deferral criteria
requires a national monitoring effort as part of TTIMS to assess if
the relative proportions of risk factors for infection in blood
donors have changed following the adoption of the 12-month donor
deferral for MSM. TTIMS will use similar procedures as the ones
used in previous OMB approved information collection
“Transfusion-transmitted retrovirus and hepatitis virus rates and
risk factors: Improving the safety of the US blood supply through
hemovigilance” (OMB control number 0925-0630) to monitor and
evaluate risk factors among human immunodeficiency virus
(HIV)-positive donors and recently Hepatitis C virus (HCV) or
Hepatitis B virus (HBV) infected donors as well as controls. The
study will help identify the specific risk factors for TTI and
their prevalence in blood donors, and help inform FDA on the
proportion of incident (new) infections among all HIV positive
blood donors. Donations with incident infections have the greatest
potential transmission risk because they could be missed during
routine blood screening. The study will help FDA evaluate the
effectiveness of screening strategies in reducing the risk of HIV
transmission from at-risk donors and to evaluate if there are
unexpected consequences associated with the recent change in donor
deferral policy such as an increase in HIV incidence among donors.
These data also will inform FDA regarding future blood donor
deferral policy options to reduce the risk of HIV transmission,
including the feasibility of moving from the existing time-based
deferrals related to risk behaviors to alternate deferral options,
such as the use of individual risk assessments, and to inform the
design of potential studies to evaluate the feasibility and
effectiveness of such alternative deferral options.
FDA has adjusted our burden
estimate, which has resulted in a decrease to the currently
approved burden of 300 hours. Based on experience with this survey,
we decreased the average burden per response from 45 to 30 minutes
resulting in a change from the previous 450 hours to 300 total
hours which is a decrease of 150 hours. We also made several
changes to the questionnaire, described in section 1 of this
supporting statement.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.