[Federal Register Volume 60, Number 147 (Tuesday, August 1, 1995)]
[Notices]
[Pages 39176-39178]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-18827]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-95-01]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506(c)(2)(A) of the 

[[Page 39177]]
    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 
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. Emergency Department Prevention of Alcohol-related Injuries--
New--The contribution of alcohol to injuries due to motor vehicle 
crashes, violence, and other causes has been a public health concern 
for many years. Because the emergency department(ED) is the primary 
source of treatment for many individuals with alcohol-related injuries, 
the ED visit provides a unique opportunity for early recognition and 
initial clinical management of a major injury risk factor, excessive 
alcohol consumption. The field of alcohol treatment is evolving rapidly 
and therapeutic attention is increasingly directed toward persons with 
mild or moderate drinking problems who do not require specialized 
treatment. Controlled studies in outpatient primary care settings have 
demonstrated that interventions consisting of as little as a single 
brief interview and feedback session can decrease alcohol consumption 
in 40% to 47% of excessive drinkers at 6 months followup. The purpose 
of this study is to design, implement, and evaluate the effectiveness 
of an ED-based prevention program for injured patients with alcohol 
problems that incorporates promising new screening methods and a brief 
intervention.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Patients.............................       1750           2        0.2 
------------------------------------------------------------------------

    2. HIV Prevention Programs in Minority and other Community-Based 
Organizations Project Reports (0920-0249)--Reinstatement--In FY 1994, 
CDC awarded approximately $8,400,000 to national/regional organizations 
for HIV/STD prevention programs. In FY 1996 the President's budget 
includes a request of $15.8 million to continue this program. CDC is 
responsible for monitoring and evaluating HIV/STD prevention activities 
conducted with these funds. These reports allow CDC to measure the 
progress of activities and services supported with these funds which in 
turn assures quality programming. This is a request to continue to 
require quarterly progress reports from national/regional minority 
organizations funded by CDC.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Organization.........................         90           4          1 
------------------------------------------------------------------------

    3. Applied Research for Traumatic Brain Injury (TBI) Follow-Up 
Registry--New--The purpose of this data collection is to plan, 
implement, and support a population-based registry of persons 
sustaining TBI to better define the outcomes and secondary conditions 
associated with the injury. One grant recipient will develop 
population-based follow-up and data collection methods statewide or in 
a population defined by a geo-political jurisdiction of 1.5 million or 
more persons to define the long-term public health impacts of TBI. 
Tracking mechanisms to follow-up persons with TBI will be developed, a 
minimal data set will be defined to include demographic and cost data 
and information about primary and secondary conditions, injury 
severity, impairments, disabilities, services needed and used, and 
community reintegration.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
TBI patients.........................       1000           2        0.5 
------------------------------------------------------------------------

    4. Epidemiology of Fatiguing Illness in Wichita: A Population-Based 
Study--New--In 1994, OMB approved the information collection 
``Epidemiology of Fatiguing Illness in Wichita: A Population-Based 
Study'' under OMB Number 0920-0336. Data from this cross-sectional, 
point prevalence, random-digit-dial survey of prolonged fatiguing 
illness in San Francisco, CA concluded that CFS continues to exist and 
that prolonged fatigue occurs in over five percent of the population in 
San Francisco.
    The proposed study replicates the San Francisco study using 
identical methodology and data collection instruments. Beginning with a 
random-digit-dial telephone survey to identify fatigued individuals, 
followed by a case-control study where surveillance interview 
instruments will be used to obtain comparative data on fatigued 
individuals and matched health (non-fatigued) controls. Study 
objectives remain to refine estimates of CFS in Wichita, identify 
similarities and differences among cases and controls, and to evaluate 
the merits of a physician-based surveillance conducted by the Wichita 
department of health.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Individuals screened.................     13,000           1      0.083 
Individuals interviewed..............      1,200           1       0.25 
------------------------------------------------------------------------

    5. Refinement of an Instrument on Teen Pregnancy and Contraceptive 
Use--New--The University of Alabama School of Public Health, through a 
cooperative agreement with CDC, will develop an instrument that can be 
used to obtain information about contraceptive decision making and 
unintended pregnancy among teens. The CDC instrument is to identify 
factors associated with (1) Early initiation of contraception for 
sexually active teens; (2) use of effective contraceptive methods; (3) 
attitudes and beliefs about different methods; (4) timing status of 
pregnancy and whether an unintended pregnancy resulted from no use or 
ineffective use; (5) the influence of alcohol and other drugs on 
contraceptive use; and, (6) the impact of an unintended pregnancy on 
subsequent contraceptive use. To develop the new instrument, UAB will 
first conduct and use data from focus groups with teens. Second, the 
new instrument will be administered by trained interviewers to 

[[Page 39178]]
a sample of teens pregnant for the first time and sexually active 
nonpregnant adolescents aged 15-17 in Birmingham, Alabama. Once all of 
the interviews are completed, data from the questionnaires will be 
analyzed to determine: (1) The average length of the interview; (2) the 
reactions of the respondents to the interview questions; (3) questions 
that were difficult for the respondents and interviewers; and (4) the 
actual responses to the interview questions. Based on the above 
analyses, UAB will prepare a report for CDC which will include a 
revised questionnaire, and recommendations for future use of this type 
of instrument.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Pregnant adolescents.................        100           1       0.75 
Sexually active nonpregnant                                             
 adolescents.........................        100           1       0.75 
------------------------------------------------------------------------

    6. Functional Outcome and Use of Services Following Firearm 
Injuries--New--Patients admitted to an urban hospital for treatment of 
a firearm injury will be followed in order to: (1) Examine the nature 
and extent of functional limitations and disability following a firearm 
injury, (2) examine the factors that influence patient recovery, and 
(3) document the use of post-acute services and barriers to receiving 
those services. The following data will be collected: (1) Patients will 
be interviewed in person prior to discharge and by phone at 3 months 
and 9 months after discharge; (2) the medical record will also be 
abstracted.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Patients with firearms injuries......        320           3       0.60 
------------------------------------------------------------------------

    7. Ciguatera Fish Poisoning Study--New--Approximately 100 patients 
with acute ciguatera fish poisoning and matched controls who provide 
written consent before entry into the study will be surveyed about 
their fish consumption practices, history of ciguatera fish poisoning 
and symptoms experienced. Objectives of the study will be to examine 
risk factors for illness, including fish exposure and demographic 
characteristics of patients. The study will also attempt to identify 
distinct or characteristic symptom complexes and responses of patients 
to various treatments. The study will permit systematic collection of 
toxic fish specimens for further development of fish screening tests. 
Respondents will be patients over age 18 presenting to emergency rooms 
and diagnosed with ciguatera fish poisoning.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Diagnosed patients...................        200           2       0.75 
------------------------------------------------------------------------

    8. A Case-Control Study to Determine if College Attendance is a 
Risk Factor for Development of Invasive Meningococcal Disease (0920-
0321)--Reinstatement--The frequency of reports of fatal or life-
threatening meningococcal disease in previously healthy college 
students raises the possibility that college students are at increased 
risk of meningococcal disease. Potential similarities between college 
students and military recruits, for whom increased risk has been 
clearly established and who are routinely vaccinated against 
meningococcal disease upon entry, suggest the need to clarify the role 
of college attendance in the occurrence of meningococcal disease. To 
determine if college attendance is a risk factor for meningococcal 
disease NCID hopes to conduct a retrospective, case-control study based 
on cases identified by state health departments. (0920-0321)

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
Infected college students............        400           1      0.355 
------------------------------------------------------------------------

    9. Nationally Sexually Transmitted Disease morbidity Surveillance 
system--Continuation--The purpose of these reports is to collect STD 
morbidity surveillance data from state health departments nationwide. 
The data are used by health care planners at the national, state, and 
local levels to develop and evaluate STD prevention and control 
programs. In addition there are many other users of the data including 
scientist, researchers, educators, students and the media.

------------------------------------------------------------------------
                                                                  Avg.  
                                                      No. of     burden/
             Respondents                  No. of    responses/  response
                                       respondents  respondent     (in  
                                                                 hours) 
------------------------------------------------------------------------
State and large city health                                             
 departments.........................         60           4          2 
State and large city health                                             
 departments.........................         60          12      0.583 
State and large city health                                             
 departments.........................         60           2          3 
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    Dated: July 20, 1995.
Joseph R. Carter,
Acting Associate Director for Management And Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 95-18827 Filed 7-31-95; 8:45 am]
BILLING CODE 4163-18-P