[Federal Register Volume 64, Number 8 (Wednesday, January 13, 1999)]
[Notices]
[Pages 2225-2227]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-724]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30DAY-05-99]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-7090. Send written
comments to CDC, Desk Officer; Human Resources and Housing Branch, New
Executive Office Building, Room 10235; Washington, DC 20503. Written
comments should be received within 30 days of this notice.
Proposed Project
1. Evaluating an Alert to Firefighters--New--National Institute of
Occupational Safety and Health (NIOSH)--The mission of the National
Institute of Occupational Safety and Health is to promote ``safety and
health at work for all people through research and prevention.'' NIOSH
not only investigates and identifies occupational safety and health
hazards, the Institute also develops recommendations for controlling
those hazards and in some cases, distributes those recommendations
directly to affected workplaces.
One way that NIOSH accomplishes this kind of intervention is
through the Alert. The Alert is usually a six to ten page document that
outlines the nature of the hazard, the risks to workers, and the
recommendations for controlling the hazard. Again, the Alert is mailed
to workplaces potentially affected by the hazard.
It is unclear, however, whether the Alert is effective in
communicating the need for and methods for adopting NIOSH's
recommendations for controlling the hazard. To-date, none of the Alerts
have been rigorously evaluated, but preliminary research indicates that
the Alert could be more effective at encouraging safer workplace
practices.
The Alert has traditionally followed a standard format that does
not reflect current ``best practices'' in applied communications. In
this study, NIOSH proposes incorporating several alternative
communication strategies into an Alert and evaluating the effectiveness
of these alternatives.
The Alert chosen for this study is concerned with firefighters and
the injuries and fatalities that result from structural collapse. In
1998, Congress appropriated funds for NIOSH to conduct research and
proceed with interventions that will reduce the number of fatalities
among firefighters. Congress further instructed NIOSH to evaluate the
effectiveness of any interventions. This Alert is intended to be
directed at the 36,000 fire stations and 1.2 million career and
volunteer firefighters across the country.
NIOSH will vary the content of the Alert and add channels of
information to inform, educate, and help fire stations adopt safer work
practices. The goals of the study are twofold: 1) to reduce the risks
of injury and fatality among firefighters, 2) identify the more
effective ways to deliver vital health and s afety information in NIOSH
Alerts. The study design will allow NIOSH to minimize costs while
identifying the most effective strategies. The total annual burden
hours are 320.
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Number of Avg. burden per
Respondents Number of responses/ response (in
respondents respondent hrs.)
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Fire Chiefs.................................................. 960 1 20/60
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2. Surveillance for Bloodstream and Vascular Access Infections in
Outpatient Hemodialysis Centers--New--National Center for Infectious
Diseases (NCID). The Hospital Infections Program, NCID is proposing a
study of bloodstream infections, vascular access infections,
hospitalizations, and antimicrobial starts at U.S. outpatient
hemodialysis centers. Although bloodstream and vascular access
infections are common in hemodialysis patients, there is no existing
system to record and track these complications. Participation in the
proposed project is voluntary; it is estimated that 100 of the
approximately 3,000 U.S. outpatient hemodialysis centers will
participate. Participating centers may collect data continuously, or
may discontinue participation at any time; we estimate that the average
center will participate for six months. Each month, participating
centers will record the number of hemodialysis patients they treat and
maintain a log of all hospitalizations and intravenous (IV)
antimicrobial starts. For each hospitalization or IV antimicrobial
start, further information (e.g., type of
[[Page 2226]]
vascular access, clinical symptoms, presence of a vascular access
infection, and blood culture results) will be collected. A computer
program will be developed to allow dialysis center personnel to enter
and analyze their own data; they will also transmit the data to CDC
with all patient identifiers removed. CDC will aggregate this data and
generate reports which will be sent to participating dialysis centers.
Rates of bloodstream infection, vascular access infection, and
antimicrobial use per 1000 patient-days will be calculated. Also, the
percentage of antimicrobial starts for which a blood culture is
performed will be calculated. Through use of these data, dialysis
centers will be able to track rates of key infectious complications of
hemodialysis. This will facilitate quality control improvements to
reduce the incidence of infections, and clinical practice guidelines to
improve use of antimicrobials. The total annual burden hours are 5,200.
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Number of Avg. burden/
Form Number of responses/ response (in
respondents respondent hrs.)
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Agreement to Participate........................................ 100 1 1
Census Form..................................................... 100 12 .083
Log............................................................. 100 \1\ 10 1
Incident Form................................................... 100 \1\ 200 0.2
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\1\ Estimated Mean.
3. Prevention of HIV Infection in Youth at Risk: Developing
Community-Level Intervention Strategies that Work--New--The National
Center for HIV, STD, and TB Prevention (NCHSTP) purpose of this survey
is to evaluate the effectiveness of an intervention to reduce risk
behaviors associated with HIV infection or transmission among young men
of various race/ethnic groups. Across 10 cities, data will be collected
in the intervention and comparison areas, and it will be used to assess
risk behaviors associated with HIV acquisition and transmission,
determinants of those behaviors, and to monitor awareness and contact
with the intervention. It is hoped that this intervention study will
result in lowering HIV risk behaviors among young men in the target
audiences, and strengthening HIV prevention programs in these local
communities. The total annual burden hours are 3,380.
Table 1.--Pilot Testing (March-April 1999)
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Number
Number of responses per Hrs/response Response
respondents respondent burden
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Identify venues for sampling frames using
Eligibility Screener (BSI)..................... 2,340 1 1/60 39
Eligibility Screener (BSI)...................... 858 1 1/60 15
Respondent informed consent..................... 390 1 3/60 20
Full interview (QTI)............................ 390 1 20/60 130
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Table 2.--Pre-Intervention Round of Data Collection (May-August 1999)
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Number
Number of responses per Hrs/response Response
respondents respondent burden
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Eligibility Screener (BSI)...................... 7,143 1 1/60 119
Respondent informed consent..................... 3,250 1 3/60 163
Full interview (QTI)............................ 3,250 1 20/60 1,084
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Table 3.--Monitoring Round of Data Collection (May-August 2000)
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Number
Number of responses per Hrs/ response Response
respondents respondent burden
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Eligibility Screener (BSI)...................... 7,143 1 1/60 119
Respondent informed consent..................... 3,250 1 3/60 163
Full interview (QTI)............................ 3,250 1 20/60 1,084
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Table 4.--Monitoring Round of Data Collection (May-August 2001)
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Number
Number of responses per Hrs/response Response
respondents respondent burden
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Eligibility Screener (BSI)...................... 7,143 1 1/60 119
Respondent informed consent..................... 3,250 1 3/60 163
Full interview (QTI)............................ 3,250 1 20/60 1,084
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[[Page 2227]]
Table 5.--Post-Intervention Round of Data Collection (May-August 2002)
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Number
Number of responses per Hrs/response Response
respondents respondent burden
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Eligibility Screener (BSI)...................... 7,143 1 1/60 119
Respondent informed consent..................... 3,250 1 3/60 163
Full interview (QTI)............................ 3,250 1 20/60 1,084
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The State and Local Area Integrated Telephone Survey (SLAITS)
(0920-0406)--Extension--The National Center for Health Statistics,
(NCHS) is planning to expand from the short term pilot study phase to a
long term integrated and coordinated survey system designed to collect
needed health and welfare data at the state and local levels. Using the
random-digit-dialing sampling frame from the ongoing National
Immunization Survey (NIS) and Computer Assisted Telephone Interviewing
(CATI), the State and Local Area Integrated Telephone Survey (SLAITS)
can quickly collect and produce data to monitor health status, child
and family well-being, health care utilization, access to care, program
participation, and changes in health care coverage at the state and
local levels. These efforts are conducted in cooperation with state and
local officials. SLAITS offers a centrally administered data collection
mechanism with standardized questionnaires and quality control measures
which allow comparability of estimates between states, over time, and
with national data. As demonstrated in the pilot study phase, SLAITS is
designed to allow for oversampling of population subdomains and to meet
federal, state and local needs for subnational estimates which are
compatible with national data.
Questionnaire content is drawn from existing surveys such as the
National Health Interview Survey (NHIS), the National Health and
Nutrition Examination Survey (NHANES), the Current Population Survey
(CPS), the Survey of Income and Program Participation (SIPP), the
National Household Education Survey, and the National Survey of
America's Families, as well as the three questionnaire modules that
were developed for SLAITS during the pilot study phase. These modules
include Health, Child Well-Being and Welfare, and Children's Health
Insurance and Health Care Utilization.
The strategy of building on established survey systems provides
several advantages. It is less costly than establishing a new system;
the proposed questions have been thoroughly tested; and implementation
can occur rapidly. Basing SLAITS on questions from the NHIS, CPS, and
other national in-person surveys will allow for comparisons with
national data. In addition, the quality of the estimates developed from
the telephone survey can be improved with adjustments for households
without telephones using health and socio-demographic information from
telephone and non telephone households from the NHIS and other in-
person surveys.
Funding for SLAITS is being sought through a variety of mechanisms
including Foundation grants, State collaborations, and federal
appropriation and evaluation monies. The level of implementation will
depend on the amount of funding received and can be expanded as funding
permits. Questionnaire modules will be compiled to address the data
needs of interest to the federal, state or local funding agency or
organization. The total annual burden hours are 30,870.
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Number of Average burden/
Respondents Number of responses/ response (in
respondents respondents hrs.)
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Noninstitutionalized household population in 50 States and D.C.. 102,000 1 0.30
Pretest modules................................................. 900 1 0.30
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Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 99-724 Filed 1-12-99; 8:45 am]
BILLING CODE 4163-18-P
