[Federal Register Volume 61, Number 104 (Wednesday, May 29, 1996)]
[Notices]
[Pages 26907-26910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-13393]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[30DAY-12]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request more information on these 
projects or to obtain a copy of the data collection plans and 
instruments, call the CDC Reports Clearance Officer at (404) 639-7090. 
Send written comments to Wilma Johnson, CDC Reports Clearance Officer, 
1600 Clifton Road, MS-D24, Atlanta, GA 30333. Written comments should 
be received within 30 days of this notice.
    The following requests have been submitted for review since the 
last publication date on May 9, 1996.

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

[[Page 26908]]

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.

------------------------------------------------------------------------
                                                               Average  
                                    Number of    Number of     burden/  
           Respondents             respondents   responses/    response 
                                                 respondent   (in hrs.) 
------------------------------------------------------------------------
Questionnaire....................        2,400            1         0.33
Clarification Follow-Up..........          360            1         0.17
Verification.....................       10,636            1         0.33
Verif. Follow-Up.................          993            1         0.17
------------------------------------------------------------------------

    The total burden hours is 3771. Send comments to Desk Officer, CDC; 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235; Washington, DC 20503.
    2. The National Ambulatory Medical Care Survey (NAMCS)--(0920-
0234)--Extension--The National Ambulatory Medical Care Survey (NAMCS) 
was conducted annually from 1973 to 1981, again in 1985, and resumed as 
an annual survey in 1989 by the National Center for Health Statistics, 
CDC. The NAMCS samples from all office visits within the United States 
made by ambulatory patients to non-Federal office-based physicians 
engaged in direct patient care. More than 70 percent of all direct 
ambulatory medical care visits occur in physicians' offices. To 
complement these data, in 1992 NCHS initiated the separate National 
Hospital Ambulatory Medical Care Survey (NHAMCS). These two surveys 
constitute the ambulatory care component of the National Health Care 
Survey (NHCS), and provide coverage of more than 90 percent of U. S. 
ambulatory medical care. NAMCS data include patients' demographic 
characteristics and medical problems, and the physicians' diagnostic 
services, therapeutic prescriptions and disposition decisions. These 
annual data may be used to monitor change and its effects and stimulate 
further improvements to the use, organization, and delivery of 
ambulatory care. Users of NAMCS data include Congress and federal 
agencies (e.g. NIMH, NIAAA, NCI, HRSA), state and local governments, 
medical schools, schools of public health, colleges and universities, 
private businesses, nonprofit, and individual practitioners and 
administrators.

------------------------------------------------------------------------
                                                               Average  
                                    Number of    Number of     burden/  
           Respondents             respondents   responses/    response 
                                                respondents   (in hrs.) 
------------------------------------------------------------------------
Private, Office-based Physicians                                        
 Forms:..........................                                       
    Induction....................         3000            1        0.250
    Patient Record...............         3000           30        0.033
------------------------------------------------------------------------

    The total burden hours is 3,720. Send comments to Desk Officer, 
CDC; Human Resources and Housing Branch, New Executive Office Building, 
Room 10236; Washington, DC 20503.
    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 blood 
borne 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.

[[Page 26909]]



                                                                                                                
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden/
                       Respondents (HCWs)                            Number of      responses/     response (in 
                                                                    respondents     respondent         hrs.)    
----------------------------------------------------------------------------------------------------------------
Background Questionnaire........................................            1337               1            .083
Exposure Questionnaire..........................................            1337              41           .0167
Infection Control Questionnaire.................................            1337               1            .083
----------------------------------------------------------------------------------------------------------------

    The total burden hours is 1137. Send comments to Desk Officer, CDC; 
Human Resources and Housing Branch, New Executive Office Building, Room 
10236; Washington, DC 20503.
    4. 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 Factors VII and IX 
(coagulating agents which reduce the bleeding resulting from a 
deficiency 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-occurring 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.

----------------------------------------------------------------------------------------------------------------
                                                                                      No. of      Average burden/
                           Respondents                                No. of        responses/     response (in 
                                                                    respondents     respondent         hrs.)    
----------------------------------------------------------------------------------------------------------------
Nurses in experimental condition................................              50               2            0.50
Nurses in control condition.....................................              50               2            0.50
----------------------------------------------------------------------------------------------------------------

    The total burden is 100. Send comments to Desk Officer, CDC; Human 
Resources and Housing Branch, New Executive Office Building, Room 
10235; Washington, DC 20503.
    5. The National Hospital Ambulatory Medical Care Survey (NHAMCS)--
(0920-0278)--Extension--The National Hospital Ambulatory Medical Care 
Survey (NHAMCS) has been conducted annually since 1992 by the National 
Center for Health Statistics, CDC. The NHAMCS is the principal source 
of data on the 153 million visits to hospital emergency and outpatient 
departments. It is the only source of nationally representative 
estimates of outpatient demographics, diagnoses, diagnostic services, 
medication therapy, and the patterns of use of care in hospitals which 
differ in size, location, and ownership. NHAMCS is also the only source 
of national estimates on causes of non-fatal injury for visits to 
emergency and outpatient departments.
    These data complement those from the National Ambulatory Medical 
Care Survey (NAMCS), on visits to non-Federal physicians in office-
based practices. NHAMCS data are essential for planning health 
services, improving medical education, determining health care work 
force needs, and assessing health. Users of NHAMCS data include 
Congress, Federal agencies such as NIH, private groups such as the 
American Heart Association, universities, and state offices of public 
health.

----------------------------------------------------------------------------------------------------------------
                                                                                      No. of      Average burden/
                           Respondents                                No. of        responses/     response (in 
                                                                    respondents     respondent         hrs.)    
----------------------------------------------------------------------------------------------------------------
Noninstitutional, general and short stay, hospital outpatient                                                   
 and emergency departments forms:                                                                               
    Hospital Induction..........................................             600               1             1.0
    Ambulatory Unit Induction...................................             600               1             1.2
    Emergency Department Patient Record.........................             600              50            0.06
    Outpatient Department Patient Record........................             600             150            0.06
----------------------------------------------------------------------------------------------------------------


[[Page 26910]]


    The total burden is 8,520. Send comments to Desk Officer, CDC; 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235; Washington, DC 20503.

    Dated: May 22, 1996.
Wilma G. Johnson,
Acting Associate Director for Policy Planning And Evalution, Center for 
Disease Control and Prevention (CDC).
[FR Doc. 96-13393 Filed 5-28-96; 8:45 am]
BILLING CODE 4163-18-P