95-29558. Proposed Data Collections Submitted for Public Comment and Recommendations  

  • [Federal Register Volume 60, Number 233 (Tuesday, December 5, 1995)]
    [Notices]
    [Pages 62251-62253]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 95-29558]
    
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    [INFO-95-07]
    
    
    Proposed Data Collections Submitted for Public Comment and 
    Recommendations
    
        In compliance with the requirement of Section 3506(c)(2)(A) of the 
    Paperwork Reduction Act of 1995 for opportunity for public comment on 
    proposed data collection projects, the Centers for Disease Control and 
    Prevention (CDC) will publish periodic summaries of proposed projects. 
    To request more information on the proposed projects or to obtain a 
    copy of the data collection plans and instruments, call the CDC Reports 
    Clearance Officer on (404) 639-3453.
        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; and (d) ways 
    to minimize the burden of the collection of information on respondents, 
    including through the use of automated collection techniques for other 
    forms of information technology. Send comments to Wilma Johnson, CDC 
    Reports Clearance Officer, 1600 Clifton Road, MS-D24, Atlanta, GA 
    30333. Written comments should be received within 60 days of this 
    notice.
    
    Proposed Projects
    
        1. Resources and Services Database of the CDC National AIDS 
    Clearinghouse (NAC)--(0920-0255)--Extension--This is a request to 
    extend this project for three years. NAC will mail the Resource 
    Organization Questionnaire along with a cover letter once an 
    organization is identified as providing AIDS-related services. Each 
    organization will also receive a stamped, self-addressed envelope for 
    the return of the questionnaire. If there is no response a follow-up 
    letter will be sent along with another questionnaire and return 
    envelope. A telephone call will be made to those organizations who 
    respond but whose responses need clarification. Approximately one third 
    of the entire Resources and Services Database is verified each year. As 
    part of this process, 40 percent of these organizations will receive a 
    copy of their current database entry by mail, including a cover letter, 
    a list of instructions, and a stamped, self-addressed envelope. The 
    remaining 60 percent will receive a telephone call to review their 
    record.
        The Centers for Disease Control and Prevention (CDC) National AIDS 
    Clearinghouse (NAC), is a critical member of the network of government 
    agencies, community organizations, businesses, health professionals, 
    educators, and human services providers that educate the American 
    public about Acquired immunodeficiency syndrome (AIDS) and provide 
    services for persons infected with human immunodeficiency virus (HIV). 
    NAC's Resources and Services Database contains records of approximately 
    18,000 organizations and is the most comprehensive listing of AIDS 
    resources and services available throughout the country.
        NAC's reference staff rely on the Resources and Services Database 
    to respond to more than 100,000 requests for information or referral 
    each year. The Database is also the main information source for the CDC 
    National AIDS Hotline which refers approximately 1.8 million callers 
    from the general public each year to appropriate organizations for 
    information, services, and treatment.
        In its continuing efforts to maintain an up-to-date, comprehensive 
    database, NAC is seeking renewal of approval of the survey instrument 
    and proposed methods. The total cost to respondents is estimated at 
    $94,466.00.
    
    ------------------------------------------------------------------------
                                                             Avg.           
                                                 No. of     burden/   Total 
             Respondents             No. of    responses/  response   burden
                                  respondents  respondent     (in      (in  
                                                             hrs.)    hrs.) 
    ------------------------------------------------------------------------
    Questionnaire...............      2,400            1       0.33      800
    Clarification follow-up.....        360            1       0.17       60
    Verification................     10,636            1       0.33     3545
    Verif. follow-up............        993            1       0.17      166
    Total.......................  ...........  ..........  ........     3771
    ------------------------------------------------------------------------
    
        2. Evaluation of a Training Curriculum for Hemophilia Nurses Who 
    Teach Home Infusion and Infection Control--New--The Hematologic 
    Disorders Branch at CDC has plans to develop, pilot, and evaluate 
    training curricula for hemophilia health care providers to improve 
    their knowledge and skills in teaching home infusion of 
    
    [[Page 62252]]
    Factors VII and IX (coagulating agents which reduce the bleeding 
    resulting from a deciciency of natural clotting agents in the blood of 
    people with hemophilia) and infection control related to the infusion. 
    CDC has initiated the development of a self-learning manual for nurses 
    with responsibility of teaching hemophilia patients and their families 
    about home infusion and infection control (HI/IC). The goals of the 
    manual are (1) to facilitate nurses' understanding of content that 
    should be covered when teaching HI/IC techniques, and (2) to assist 
    nurses in determining how they can best teach HI/IC to patients and 
    their families. The purpose of the proposed data collection is to 
    assess the efficacy of the manual in achieving those goals.
        An experimental design will be employed in this study in which 100 
    randomly sampled nurses will be assigned to either an experimental 
    condition (n=50) or to a control group (n=50). Nurses in the 
    experimental condition will be asked to use the manual, while those in 
    the control condition will continue their current practices and engage 
    in any naturally-occuring learning experiences related to HI/IC. 
    Baseline and follow-up surveys administered to both groups will yield 
    data that will be used to determined the difference in knowledge, 
    attitudes, and skills that can be attributed to use of the self-
    learning guide.
    
    ------------------------------------------------------------------------
                                                             Avg.           
                                                 No. of     burden/   Total 
             Respondents             No. of    responses/  response   burden
                                  respondents  respondent     (in      (in  
                                                             hrs.)    hrs.) 
    ------------------------------------------------------------------------
    Nurses in experimental                                                  
     condition..................         50            2       0.50       50
    Nurses in control condition.         50            2       0.50       50
      Total.....................  ...........  ..........  ........      100
    ------------------------------------------------------------------------
    
        3. Complications Associated with Home Infusion Therapy: The Nature 
    and Frequency of Blood Contacts Among Health Care Workers--NEW--
    Occupational blood contact and the potential for transmission of 
    bloodborne pathogens is a serious concern for health care workers 
    (HCWs) who provide care to patients. There are no data on the frequency 
    of occupational percutaneous injuries and mucocutaneous blood contact 
    among HCWs who provide home infusion therapy.
        The Hospital Infections Program, National Center for Infectious 
    Diseases, will conduct prospective, active surveillance of HCWs who 
    provide home infusion therapy. The objectives of the surveillance 
    project are to (1) estimate the procedure-specific frequency of and 
    assess risk factors for percutaneous, mucous membrane, or cutaneous 
    blood contacts sustained by HCWS during the delivery of home infusion 
    therapy and the performance of related procedures, such as phlebotomy 
    and blood culture collection; (2) describe and evaluate the 
    effectiveness of infection control precautions and safety devices to 
    prevent blood contacts; and (3) evaluate the impact of HCWs' knowledge 
    of universal precautions on the use of protective equipment, safety 
    devices, and the frequency of blood contacts.
        The population under surveillance will be nurses and phlebotomists 
    from three home health care agencies. Before beginning data collection, 
    HCWs will complete a background questionnaire to provide basic 
    demographic information as well as information about previous blood 
    contacts. HCWs will then complete an exposure questionnaire after each 
    home visit for a two-four week data collection period. This 
    questionnaire will include information about the reason for the visit, 
    the types of procedures performed, the length of the visit, the number 
    and types of blood contacts sustained, and the use of infection control 
    precautions and any safety devices. At the end of their individual data 
    collection period, each HCW will complete an infection control 
    questionnaire to assess knowledge and attitudes related to blood 
    contacts and the use of universal precautions. The total cost to 
    respondents is estimated at $24,633.
    
    ------------------------------------------------------------------------
                                                             Avg.           
                                                 No. of     burden/         
         Respondents (HCWs)          No. of    responses/  response   Total 
                                  respondents  respondent     (in     burden
                                                             hrs.)          
    ------------------------------------------------------------------------
    Background questionnaire....       1337            1       .083      111
    Exposure questionnaire......       1337           41      .0167      915
    Infection control                                                       
     questionnaire..............       1337            1       .083      111
      Total.....................  ...........  ..........  ........     1137
    ------------------------------------------------------------------------
    
        4. Surveillance and Epidemiology Study Core Questionnaire and 
    Supplement Modules--(0923-0010)--Revision--ATSDR is revising and 
    renewing the project which follows populations exposed to specific 
    hazardous substances over a period of time to determine if they are 
    experiencing elevated occurrence of diseases. In addition to 
    demographic information, additional core information is collected on 
    behavioral characteristics and health conditions. The supplemental 
    modules are also included in the request that may be used, depending on 
    the organ system targeted or the type of respondent (renal, liver, 
    occupational, respiratory, etc). The total cost to respondents is 
    estimated at $53,153.64.
    
                                                                            
    
    [[Page 62253]]
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                                                                                                     Avg.     Total 
                                                                            No. of      No. of     burden/    burden
                                Respondents                              Respondents  responses/  responses    (in  
                                                                                      respondent  (in hrs.)   hrs.) 
    ----------------------------------------------------------------------------------------------------------------
    Households.........................................................       2667            7       .369      4908
    ----------------------------------------------------------------------------------------------------------------
    
    
    
        Dated: November 29, 1995.
    Wilma G. Johnson,
    Acting Associate Director for Policy Planning And Evaluation, Centers 
    for Disease Control and Prevention (CDC).
    [FR Doc. 95-29558 Filed 12-4-95; 8:45 am]
    BILLING CODE 4163-18-P
    
    

Document Information

Published:
12/05/1995
Department:
Health and Human Services Department
Entry Type:
Notice
Document Number:
95-29558
Pages:
62251-62253 (3 pages)
Docket Numbers:
INFO-95-07
PDF File:
95-29558.pdf