[Federal Register Volume 62, Number 18 (Tuesday, January 28, 1997)]
[Notices]
[Pages 4051-4053]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2000]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30DAY-27]
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 Office on (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.
The following requests have been submitted for review since the
last publication date on January 16, 1997.
Proposed Projects
1. The National Home and Hospice Care Survey (NHHCS)--(0920-0298)--
Revision--The National Home and Hospice Care Survey (NHHCS) was
conducted in 1992, 1993, 1994 and 1996. It is part of the long-term
Care component of the National Health Care Survey. Section 306 of the
Public Health Service Act states that the National Center for Health
Statistics ``shall collect statistics on health resources * * * [and]
utilization of health care, including utilization of * * * services of
hospitals, extended care facilities, home health agencies, and other
institutions.'' NHHCS data are used to examine this most rapidly
expanding sector of the health care industry. Data from the NHHCS are
widely used by the health care industry and policy makers for such
diverse analyses as the need for various medical supplies; minority
access to health care; and planning for the health care needs of the
elderly. The NHHCS also reveals detailed information on utilization
patterns, as needed to make accurate assessments of the need for and
costs associated with such care. Data from earlier NHHCS collections
have been used by the Congressional Budget Office, the Bureau of Health
Professions, the Maryland Health Resources Planning Commission, the
National Association for Home Care, and by several newspapers and
journals. Additional uses are expected to be similar to the uses of the
National Nursing Home Survey. NHHCS data cover: baseline data on the
characteristics of hospices and home health agencies in relation to
their patients and staff, Medicare and Medicaid certification, costs to
patients, sources of payment, patients'' functional status and
diagnoses. Data collection is planned for the period July-October,
1997. Survey design is in process now. Sample selection and preparation
of layout forms will precede the data collection by several months. The
total annual burden is 5,000.
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Average
Number of Number of burden/
Respondents respondents responses/ response (in
respondent hours)
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Agency Questionnaire............ 1,200 1 0.333
Current Patient Sampling List... 1,200 1 .333
Current Patient Questionnaire... 1,200 6 .25
Discharged Patient Sampling List 1,200 1 .50
[[Page 4052]]
Discharged Patient Questionnaire 1,200 6 .25
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2. List of Ingredients Added to Tobacco in the Manufacture of
Smokeless Tobacco Products--(0920-0338)--Extension--Oral use of
smokeless tobacco represents a significant health risk which can cause
cancer and a number of noncancerous oral conditions, and can lead to
nicotine addiction and dependence. Furthermore, smokeless tobacco use
is not a safe substitute for cigarette smoking. The Centers for Disease
Control and Prevention's (CDC) Office on Smoking and Health (OSH) has
been delegated the authority for implementing major components of the
Department of Health and Human Services' (HHS) tobacco and health
program, including collection of tobacco ingredients information. HHS's
overall goal is to reduce death and disability resulting from cigarette
smoking and other forms of tobacco use through programs of information,
education and research.
The Comprehensive Smokeless Tobacco Health Education Act of 1986
(15 U.S.C. 4401 et seq., Pub.L. 99-252) requires each person who
manufactures, packages, or imports smokeless tobacco products to
provide the Secretary of HHS with a list of ingredients added to
tobacco in the manufacture of smokeless tobacco products. HHS is
authorized to undertake research, and to report to the Congress (as
deemed appropriate), on the health effects of the ingredients. The
total annual burden is 286.
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Average
Number of Number of burden/
Respondents respondents responses/ response
respondent (in hours)
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Tobacco manufacturers............ 11 1 26
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3. List of Ingredients Added to Tobacco in the Manufacture of
Cigarette Products--(0920-0210)--Reinstatement--Cigarette smoking is
the leading preventable cause of premature death and disability in our
nation. Each year more than 400,000 premature deaths occur as the
result of cigarette smoking related diseases. The Centers for Disease
Control and Prevention (CDC), Office on Smoking and Health has primary
responsibility for the Department of Health and Human Services' (HHS)
smoking and health program. HHS's overall goal is to reduce death and
disability resulting from cigarette smoking and other forms of tobacco
use through programs of information, education and research.
The Comprehensive Smoking Education Act of 1984 (15 U.S.C. 1336
Pub.L. 98-474) requires each person who manufactures, packages, or
imports cigarettes to provide the Secretary of HHS with a list of
ingredients added to tobacco in the manufacture of cigarettes. This
legislation also authorizes HHS to undertake research, and to report to
the Congress (as deemed appropriate), on the health effects of the
ingredients.
In 1993, OMB reinstated approval for collection of ingredients
information (0920-0210) after the expiration of the previous approval;
this current approval expired on December 31, 1996. The total annual
burden is 2,660.
------------------------------------------------------------------------
Average
No. of No. of burden/
Respondents respondents responses/ response
respondent (in hours)
------------------------------------------------------------------------
Tobacco Manufacturers............ 14 1 190
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4. Surveys of State-Based Diabetes Control Cooperative Agreement
Programs--New--Diabetes Mellitus and related complications are the
seventh leading cause of death in the United States, and accounts for
$105 billion in direct medical costs and lost productivity each year.
Approximately 14 million Americans have been diagnosed with diabetes, a
leading cause of new blindness and end-stage renal failure in the
United States and a major co-morbid factor in lower extremity
amputation, cardiovascular disease and related death, and neonatal
morbidity and mortality.
Through the support of the Centers for Disease Control and
Prevention (CDC) ``State-Based Program to Reduce the Burden of
Diabetes: A Health Systems Approach,'' public health departments in 42
states and four U.S. territorial affiliated jurisdictions have been
charged with providing leadership in reducing the gap between what
should be and what is the current standard of diabetes care.
CDC will collect information from diabetes State Program
Coordinators regarding the four key areas of program implementation.
They are (1) Capacity building and infrastructure development, (2)
surveillance and data collection, (3) health systems change, and (4)
working with local programs.
The survey has three main objectives:
1. Document the progress made by Diabetes Control Programs in the
four main areas of program implementation.
2. Assess the relationship between the level of infrastructure
development, and a program's efforts to carry out surveillance
activities, health systems change activities, and work with local
programs. Information will help improve technical assistance (TA) and
guidance offered to states by CDC.
3. Lay the groundwork for an evaluation instrument that can be used
to collect data from Diabetes Control Programs at the end of the
funding cycle in order to assess whether progress in program
implementation and development is linked to reduced diabetes morbidity
and mortality.
The data will result from self-administered mailed surveys sent to
the Program Coordinator in each state. Most questions will be in the
form of
[[Page 4053]]
checklists although each of the four sections contain a number of open-
ended questions for explanation of unique features of programs. It is
expected that the burden in time to each respondent will be about two
(2) hours per Program Coordinator or Designee, resulting in a total
burden of 92 hours. Results will also be made available to participants
upon request. The total annual burden is 84.
------------------------------------------------------------------------
Average
No. of No. of burden
Respondents respondents responses/ response
respondent (in hours)
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Diabetes Program Coordinators.... 42 1 2
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Dated: January 22, 1997.
Wilma G. Johnson,
Acting Associate Director for Policy Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 97-2000 Filed 1-27-97; 8:45 am]
BILLING CODE 4163-18-P
