[Federal Register Volume 60, Number 160 (Friday, August 18, 1995)]
[Notices]
[Pages 43153-43156]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-20550]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-95-02]
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 study materials on the proposed project, 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
[[Page 43154]]
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. Evaluation of the NCCDPHP-Produced Chronic Disease Prevention
(CDP) File--New--The proposed research is a customer- satisfaction
survey related to NCCDPHP's Chronic Disease Prevention (CDP) file. This
is an information database constructed and maintained by the Technical
Information Services Branch in NCCDPHP, and made available to a variety
of health education and promotion specialists primarily in CD-ROM
format. The study is designed to assess the current utilization of and
satisfaction with the CDP file and its support services. It will focus
on three discrete target audiences, each of which is seen as a primary
user and/or gateway to such: State/territorial site coordinators, and
cooperative agreement recipients from the two CDC divisions (the
Division of Cancer Prevention and Control (DCPC) and the Division of
Adolescent School Health (DASH)). The first group consists of
individuals identified to serve as the resident host for the CDP file
within each state and territory, which includes promoting knowledge of
and access to the CDP file. There are 56 such persons. The second
audience receives free copies of the CD-ROM as part of their
cooperative agreements with NCCDPHP. The survey will be conducted via
telephone with the project coordinators at each of the cooperative
agreements and with the state/territorial site coordinators. The survey
assesses issues related to level of knowledge about the CDP file, level
of use, relative value of the file, relative value/timeliness of user
support, and technological capacity.
Findings will be used to refine the product and the distribution
activities of CDC in relation to the CDP file.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
State/territorial site coordinators.. 56 1 0.357
Cooperative agreement recipients from
DCPC and DASH....................... 188 1 .08
------------------------------------------------------------------------
2. Variability of Respiratory Tract Dust Deposition in Workers--
New--Adverse respiratory health effects in workers exposed to hazardous
airborne materials can be prevented by reducing the concentration of
the implicated agents below a threshold level. However, the actual
``safe'' work site concentration is determined by the airborne
particulates that are actually deposited and retained in the worker's
respiratory tract. The proportion deposited is in turn affected by the
volume and flow rates of the worker's breathing patterns.
Only a few previous studies have measured respiratory tract
deposition using standardized, breathing patterns, under controlled
conditions, and in relatively healthy young men. Despite the relatively
small numbers of subjects (3 to 26) and large variability in aerosol
deposition, an algebraic mode has been proposed to estimate mean
deposition for specified tidal volumes, inspiratory flow rates, and
particle sizes. Deposition predicted by this algebraic model may not be
valid for those tidal volumes and inspiratory flow rates representative
of realistic work conditions or for a diverse workforce.
The goals of this investigation are to: (1) Develop a database of
information related to workers' ventilatory patterns during performance
of elemental industrial and commercial job activities, as well as
specific dust-exposed work activities; (2) define expected variation in
particle size-dependent respiratory tract dust deposition related to
breathing patterns representative of different job tasks; (3)
investigate residual intersubject variability in respiratory tract dust
deposition with explanatory variables such as height, gender, age,
smoking status, effective airway diameter, nasal geometry, and
preexisting respiratory tract abnormalities.
This investigation should improve the understanding of the actual
deposition of toxic substances in the lungs and help to validate or
modify the existing models of human aerosol deposition.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
Volunteer Subjects................... 29 2 4.5
Workers.............................. 342 2 5.5
------------------------------------------------------------------------
3. Evaluation of TB Outreach Worker Activities--(0920-0361)
Extension--This data collection will generate descriptive data from
those directly involved and responsible for providing outreach to
identified TB patients to gain an understanding of outreach activities,
how they occur, and their level of effectiveness. Three interview
guides have been developed for use with TB outreach workers, their
supervisors and a small number of outreach patients. This effort will
result in a more comprehensive picture of effective and efficient TB
outreach activities. The major product of this effort will be a
descriptive analytical report detailing the ``lessons learned''.
------------------------------------------------------------------------
No. of Avg. burden/
Respondents No. of responses/ response(in
respondents respondent hours)
------------------------------------------------------------------------
Outreach Workers.................. 36 1 0.75
Outreach Workers' Supervisors..... 36 1 0.75
TB Patients....................... 72 1 0.33
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4. End Stage Renal Disease Study--(0923-0011) Reinstatement--Kidney
disease is one of the priority health conditions ATSDR has identified
for epidemiologic studies. Contaminants such as heavy metals and
solvents are commonly found at hazardous waste sites and have been
linked to end-stage renal disease in occupational studies. A case-
control study of end-stage renal disease and residential proximity to
hazardous waste sites conducted in New York State under the previous
clearance suggested an increased risk for this association. An
expansion of this original study is now planned in California to
determine whether these findings can be replicated. The cases of end-
stage renal disease will be identified from the records of the Health
Care Financing Administration. Controls will be recruited by random
digit dialing and frequency matched to cases on age, sex, and race. All
participants will be interviewed by telephone to obtain residential
histories and other information on exposures, demographics, and health.
The plan is
[[Page 43155]]
to interview 600 cases (300 with diabetes and 300 without) and 600
controls. Each participant will only be interviewed once for
approximately 45 minutes. Information on the proximity of residences to
hazardous waste sites will be obtained from the California Department
of Health.
------------------------------------------------------------------------
No. of Avg. burden/
Respondents No. of responses/ response(in
respondents respondent hours)
------------------------------------------------------------------------
Diabetes Patients................. 300 1 0.75
Persons without Diabetes.......... 300 1 0.75
Control........................... 600 1 0.75
------------------------------------------------------------------------
5. Evaluation of ``Diabetes Today'' Course Effectiveness--New--
``Diabetes Today'' is a training course for health care professionals
that consists of two distinct course offerings for different audiences.
This training course provides technical assistance to state chronic
disease programs in accord with the mission of CDC's National Center
for Chronic Disease Prevention and Health Promotion (NCCDPHP). NCCDPHP,
through the CDC's Office of Health Communication, is in the process of
assessing the effectiveness of the technical assistance activities
provided to State Diabetes Control Programs (DCPs) who are implementing
``Diabetes Today''.
CDC plans to conduct telephone interviews with DCP staff members
and other staff from Diabetes programs in 61 entities (states and
territories). The interviews will gather information to evaluate the
effectiveness of the services delivered to assist states in
implementing their diabetes control programs. Data will also be
collected from state program staff who have not yet attended the
course, in order to assess their need and desire for training and
technical assistance. Respondents will be broken into three categories:
Staff who have completed the ``Diabetes Today'' training; staff who
plan to take, but have not yet taken, the ``Diabetes Today'' training;
and staff who do not plan to take the training. Three versions of the
survey will be administered the three categories of respondents.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
DCP Staff Who Have Completed the
``Diabetes Today'' Training......... 38 1 1
Staff Who Plan to Take, but Have Not
Attended Training................... 13 1 0.5
Staff Who Do Not Plan to Take
Training............................ 8 1 0.25
------------------------------------------------------------------------
6. Evaluation of the Efficacy of Back Belts for the Prevention of
Low Back Injury-- New--This study will provide information concerning
the efficacy of a back supporting belt in preventing first and
recurrent low back injuries. The research will be conducted with a
major retail merchandise company, using selected company workers (those
with highest lifting exposures) in selected stores. NIOSH will obtain
much higher quality information on the value of back belts in
prevention of injuries in the workplace than is currently available,
and the Institute will be able to make scientifically justified
recommendations regarding their use as personal protective equipment to
industry and the public.
This study proposes to enroll approximately 8,000 workers in 160
retail merchandise stores and 6-8 distribution centers in the eastern
U.S. Current company policy is to require the use of belts in all
stores. Back injury rates over a two-year period, in three groups of
stores will be compared. In the first group, belts will be withheld for
one year. In the second group, belts will be withheld for two years,
and in the third group, belts will not be withheld. Injury rates will
then be compared between belt and non-belt periods after adjustment for
back injury risk factors.
Workers will respond to questions concerning job history, physical
activity, smoking history, history of injury and back pain,
psychosocial variables in the workplace, tasks performed on the job,
and belt-wearing behavior on the job. Only data necessary for the
purposes of this study will be collected, and the questionnaires will
be group administered at the workplace.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
Company workers...................... 8,000 2 0.649
------------------------------------------------------------------------
7. National Home and Hospice Survey--(0920-0298) Reinstatement--The
National Home and Hospice Care Survey (NHHCS) was conducted in 1992,
1993, and 1994. 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
Professionals, 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 Study. 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, and categories of staff employees. Data collection is
planned for the period July-October, 1996. Survey design is in process
now.
Sample selection and preparation of layout forms will precede the
data collection by several months.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
Facility............................. 1200 1 0.333
[[Page 43156]]
Current Patients..................... 8400 1 0.19
Discharged Patients.................. 8400 1 0.214
------------------------------------------------------------------------
8. National Hospital Discharge Survey--(0920-0212) Extension--The
National Hospital Discharge Survey (NHDS), which has been conducted
continuously by the National Center for Health Statistics, CDC, since
1965, is the principal source of data on inpatient utilization of
short-stay, non-Federal hospitals and is the only annual source of
nationally representative estimates on the characteristics of
discharges, the lengths of stay, diagnoses, surgical and non-surgical
procedures, and the patterns of use of care in hospitals in various
regions of the country. It is the benchmark against which special
programmatic data sources are compared. Data collected through the NHDS
are essential for evaluating health status of the population, for the
planning of programs and policy to elevate the health status of the
Nation, for studying morbidity trends, and for research activities in
the health field. NHDS data have been used extensively in the
production of goals for the Year 2000 Health Objectives and the
subsequent monitoring of these goals. In addition, NHDS data provide
annual updates for numerous tables in the Congressionally-mandated NCHS
report, Health, United States. Data from the NHDS are collected
annually on approximately 250,000 discharges from a nationally
representative sample of noninstitutional hospitals exclusive of
Federal hospitals. The data items collected are the basic core of
variables contained in the Uniform Hospital Discharge Data Set (UHDDS).
Data for approximately half of the responding hospitals are abstracted
from medical records while the remainder of the hospitals supply data
through commercial abstract service organizations, state data systems,
in-house tapes or printouts.
------------------------------------------------------------------------
Avg.
No. of burden/
Respondents No. of responses/ response
respondents respondent (in
hours)
------------------------------------------------------------------------
Primary Procedure Hospitals.......... 77 251 0.083
Alternate Procedure Hospitals........ 136 250 0.016
Update (Abstract Service Hospitals).. 150 2 0.033
Quality Control Forms (Hospitals).... 50 40 0.016
Induction Forms (Hospitals).......... 40 1 2
------------------------------------------------------------------------
9. Cost and Impact of Illnesses and Injuries Associated with Child
Care Attendance--New--This is a longitudinal follow-up telephone survey
of parents of children attending large (>15 children/center) day care
centers and family day care homes (<7 children)="" in="" order="" to="" (1)="" determine="" the="" extent="" to="" which="" the="" size="" of="" day="" care="" centers="" are="" associated="" with="" the="" rates="" of="" illnesses="" and="" injuries="" for="" children="" attending="" day="" care;="" (2)="" to="" estimate="" the="" costs="" of="" illnesses="" and="" injuries="" for="" children="" attending="" small="" and="" large="" day="" care="" centers;="" (3)="" to="" compare="" the="" health="" of="" the="" family="" members="" of="" children="" attending="" small="" versus="" large="" day="" care="" centers;="" and,="" (4)="" to="" estimate="" the="" costs="" of="" illnesses="" for="" the="" family="" members="" of="" children="" attending="" small="" versus="" large="" day="" care="" centers.="" the="" analyses="" of="" the="" proposed="" survey="" data="" will="" allow="" cdc="" to="" evaluate="" the="" relative="" costs="" and="" benefits="" of="" attending="" small="" as="" opposed="" to="" large="" day="" care="" centers.="" the="" information="" will="" provide="" timely="" and="" valuable="" data="" to="" policy="" makers,="" medical="" professionals="" and="" scientists.="" the="" total="" burden="" will="" be="" 693="" hours;="" there="" will="" be="" 272="" respondents,="" and="" 12="" interviews="" per="" respondent="" (one="" 35-minute="" interview="" and="" eleven="" 10-="" minute="" interviews).="" the="" study="" is="" proposed="" to="" last="" one="" year.="" ------------------------------------------------------------------------="" avg.="" no.="" of="" burden/="" respondents="" no.="" of="" responses/="" response="" respondents="" respondent="" (in="" hours)="" ------------------------------------------------------------------------="" parents="" (monthly)....................="" 272="" 11="" 0.167="" parents="" (annual).....................="" 272="" 1="" 0.583="" ------------------------------------------------------------------------="" dated:="" august="" 14,="" 1995.="" joseph="" r.="" carter,="" acting="" associate="" director="" for="" management="" and="" operations,="" centers="" for="" disease="" control="" and="" prevention="" (cdc).="" [fr="" doc.="" 95-20550="" filed="" 8-17-95;="" 8:45="" am]="" billing="" code="" 4163-18-p="">