[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
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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.
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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
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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.
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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
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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]]
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Number of Average burden/
Respondents (HCWs) Number of responses/ response (in
respondents respondent hrs.)
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Background Questionnaire........................................ 1337 1 .083
Exposure Questionnaire.......................................... 1337 41 .0167
Infection Control Questionnaire................................. 1337 1 .083
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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.
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No. of Average burden/
Respondents No. of responses/ response (in
respondents respondent hrs.)
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Nurses in experimental condition................................ 50 2 0.50
Nurses in control condition..................................... 50 2 0.50
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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.
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No. of Average burden/
Respondents No. of responses/ response (in
respondents respondent hrs.)
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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
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[[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