[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  
------------------------------------------------------------------------

    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