[Federal Register Volume 60, Number 176 (Tuesday, September 12, 1995)]
[Notices]
[Pages 47391-47393]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-22565]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-95-03]


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 
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 ``WomanKind: Support Systems NS for Battered 
Women'' Project in Minnesota--New--The Division of Violence Prevention 
at CDC has been directed to work to increase physicians' and other 
health care providers' ability to identify and attend to the needs of 
victims of domestic violence. WomanKind strives to: (1) increase health 
care providers' capacity and motivation to identify and refer battered 
women to WomanKind advocates from several hospital departments, (2) 
facilitate clients' decisions to alter their circumstances, and (3) 
work with clients to identify and access existing community services 
that provide practical support in developing and implementing a plan 
for change.
    This program is in operation at three hospitals in the Minneapolis 
area. Three similar hospitals will be included as comparison sites. The 
evaluation is being conducted to determine the extent to which the 
objectives listed above are achieved and to identify the integration 
and level of contribution made by each specific program element. These 
data are specific to the project in Minnesota. Specific outcomes 
include examining health care providers and WomanKind advocates 
knowledge, attitudes, motivations, and skills, and the ability to 
successfully diagnose, manage, refer, and otherwise assist female 
victims of intimate partner violence. Client's satisfaction with 
services, number of repeat contacts with WomanKind, and (perhaps) their 
use of community services will be considered, as well. An examination 
of materials, implementation process and the potential for this program 
to be used in other settings are additional components of the 
evaluation study. If proven effective, this program could be used with 
other domestic violence prevention strategies to reduce the incidence 
of domestic violence.

------------------------------------------------------------------------
                                                 No. of     Avg. burden/
          Respondents              No. of      responses/   response (in
                                 respondents   respondent      hours)   
------------------------------------------------------------------------
Hospital Staff KABB Survey--                                            
 Census 1 and 6 month and year          950             3           .17 
Hospital Staff KABB Survey--                                            
 Trainees Immediate Post-test.          250             1           .17 

[[Page 47392]]
                                                                        
Volunteer Advocate KABB Survey           30             4           .17 
Womankind Client KABB Survey..          450             4           .25 
Control Client KABB Survey....          200             4           .25 
Hospital Staff Training                                                 
 Evaluation...................          250             1           .08 
Volunteer Advocate Training                                             
 Evaluation...................           30             6           .08 
Hospital Staff Trainer                                                  
 Evaluation...................          250             1           .08 
Volunteer Trainer Evaluation..           30             6           .08 
------------------------------------------------------------------------


    2. Symptom and Disease Prevalence Questionnaire and Supplemental 
Modules (0923-0012)--Revised--A three-year extension will be requested 
to this information collection to continue to conduct health studies 
among populations living near hazardous waste sites and potentially 
exposed to hazardous substances in order for ATSDR and our cooperative 
investigators to evaluate the association between exposure to hazardous 
substances and adverse health effects. The core questionnaire will be 
slightly revised to provide improved flow and respondent understanding. 
In these investigations, data on the prevalence of a range of symptoms 
and diseases suspected are collected. Much of the information is 
specific to certain organ systems, suspected to be at risk based on the 
contaminants and pathways of exposure present at each site; thus, 
organ-specific questionnaires are used in conjunction with the core 
questionnaire for the corresponding organ systems identified for each 
site. The results may identify specific public health concerns 
requiring further investigation or the may calm unsubstantiated fears 
concerning the perceived health impact of a site. Although these 
studies are designed to be site specific, the results of a number of 
similar studies may be combined to provide ATSDR with some broader 
measure of the public health impact of certain of these sites and 
conditions. Door-to-door canvassing will serve to census the areas; 
personal interviews will also be used for collecting information from 
the respondents.

------------------------------------------------------------------------
                                                 No. of     Avg. burden/
          Respondents              No. of      responses/   response (in
                                 respondents   respondent      hours)   
------------------------------------------------------------------------
Individuals Completing Core...         3500             1           .75 
Individuals Completing                                                  
 Supplement...................         3500             1           .25 
------------------------------------------------------------------------

    3. A CLIA Comprehension Survey and Information Program for 
Physicians--New--The purpose of this contract is to enable the Centers 
for Disease Control and Prevention (CDC) to assess the depth and 
accuracy of the knowledge base of clinicians regarding the Clinical 
Laboratory Improvement Amendments of 1988 (CLIA '88) regulations as 
they relate to physicians office laboratories (POLs), and to provide 
specific information and training to practitioners based on this 
assessment. In 1990, CDC was designated by the Department of Health and 
Human Services to assist in the implementation of CLIA '88; this 
project is a direct response to that mandate.
    Through contact with the laboratory and physician communities, CDC 
has become aware of gaps in information and understanding about the 
CLIA '88 regulations, especially as they relate to physicians office 
laboratories. Misconceptions regarding the CLIA '88 regulations in the 
community may be impeding successful implementation of the regulations 
and causing unnecessary and inappropriate responses in POL testing 
sites. Therefore, CDC is proposing a survey of practicing physicians to 
assess the depth and accuracy of the knowledge base of clinicians 
regarding the CLIA '88 regulations as they relate to POLs, and to 
provide specific information and training to practitioners based on 
this assessment.

------------------------------------------------------------------------
                                                                  Avg.  
                                                     No. of     burden/ 
             Respondents                 No. of    responses/   response
                                      respondents  respondent     (in   
                                                                 hours) 
------------------------------------------------------------------------
Laboratories........................       5250            1         .2 
------------------------------------------------------------------------

    4. Project BEGIN--New--Project BEGIN is a randomized controlled 
study to evaluate the effectiveness of an early intervention program 
for children from birth to three years of age.
    The intervention consists of four components: home visits; 
attendance at a child development center; parent groups; and 
facilitation of access to a comprehensive array of health and social 
services. The intervention program is hypothesized to promote optimal 
childhood development (e.g., cognitive, behavioral, social) and family 
functioning, and result in better long-term social outcomes, including 
improved school performance, lower rates of criminal behavior, better 
employment history, and more stable families.
    The study will be conducted at 10 sites across the country. Each 
site will enroll 32 children, randomly assigned to either the 
intervention or the comparison arm of the study.
    The purpose of the study is to gather data for studying delivery of 
community intensive and comprehensive early intervention models; 
benefit to the children enrolled and their families of interventions, 
and the impact of benefits on subgroups of children.
    Respondents will be the children and their parents recruited into 
both the intervention and comparison arms of the study. Standardized 
assessment instruments will be used to assess the developmental status 
of the children. In-person interviews, mostly using standard 
instruments, will be used to collect data from parents. Data collection 
will be on-going throughout the study. Data will be used in two ways: 
to assess the effectiveness of the intervention; and to document and 
evaluate the quality of intervention delivery.

                                                                        

[[Page 47393]]
------------------------------------------------------------------------
                                                                  Avg.  
                                                     No. of     burden/ 
            Respondents                  No. of    responses/   response
                                      respondents  respondent     (in   
                                                                 hours) 
------------------------------------------------------------------------
Children............................        320            4          4 
Care Giver..........................        640            1          1 
------------------------------------------------------------------------


    Dated: September 6, 1995.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 95-22565 Filed 9-11-95; 8:45 am]
BILLING CODE 4163-18-P