[Federal Register Volume 61, Number 129 (Wednesday, July 3, 1996)]
[Notices]
[Pages 34841-34843]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16947]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-96-18]


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 more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call the CDC Reports 
Clearance Officer at (404) 639-7090.
    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. Survey of State-Based Diabetes Control Cooperative Agreement 
Programs--New--Diabetes mellitus and related complications are the 
seventh leading cause of death in the United States, and accounts for 
$105 billion in direct medical costs and lost productivity each year. 
Approximately 14 million Americans have been diagnosed with diabetes, a 
leading cause of new blindness and end-stage renal failure in the 
United States and a major co-morbid factor in lower extremity 
amputation, cardiovascular disease and related death, and neonatal 
morbidity and mortality.
    Through the support of the Centers for Disease Control and 
Prevention's (CDC) ``State-Based Program to Reduce the Burden of 
Diabetes: A Health Systems Approach,'' public health departments in 42 
states and four U.S. territorial affiliated jurisdictions have been 
charged with providing leadership in reducing the gap between what 
should be and what is the current standard of diabetes care.
    CDC will collect information from diabetes State Program 
Coordinators regarding the four key areas of program implementation. 
They are (1) capacity building and infrastructure development, (2) 
surveillance and data collection, (3) health systems change, and (4) 
working with local programs.
    The survey has three main objectives:
    1. Document the progress made by Diabetes Control Programs in the 
four main areas of program implementation.
    2. Assess the relationship between the level of infrastructure 
development, and a program's efforts to carry out surveillance 
activities, health systems change activities, and work with local 
programs. Information will help improve technical assistance (TA) and 
guidance offered to states by CDC.

[[Page 34842]]

    3. Lay the groundwork for an evaluation instrument that can be used 
to collect data from Diabetes Control Programs at the end of the 
funding cycle in order to assess whether progress in program 
implementation and development is linked to reduced diabetes morbidity 
and mortality.
    The data will result from self-administered mailed surveys sent to 
the Program Coordinator in each state. Most questions will be in the 
form of checklists although each of the four sections contain a number 
of open-ended questions for explanation of unique features of programs. 
It is expected that the burden in time to each respondent will be about 
two (2) hours per Program Coordinator or Designee, resulting in a total 
burden of 92 hours. Results will also be made available to participants 
upon request. The total cost to respondents is estimated at $1,840.

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                                                                              No. of    Avg. burden     Total   
                         Respondents                             No. of     responses/    response    burden (in
                                                              Respondents   respondent   (in hrs.)      hrs.)   
----------------------------------------------------------------------------------------------------------------
Diabetes program coordinators...............................           46            1            2           92
                                                             ---------------------------------------------------
    Total...................................................                                                  92
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    2. List of Ingredients Added to Tobacco in the Manufacture of 
Cigarette Products--(0920-0210)--Extension without change - Cigarette 
smoking is the leading preventable cause of premature death and 
disability in our nation. Each year more than 400,000 premature deaths 
occur as the result of cigarette smoking related diseases. The Centers 
for Disease Control and Prevention (CDC), Office on Smoking and Health 
has primary responsibility for the Department of Health and Human 
Services' (HHS) smoking and health program. HHS's overall goal is to 
reduce death and disability resulting from cigarette smoking and other 
forms of tobacco use through programs of information, education and 
research.
    The Comprehensive Smoking Education Act of 1984 (15 USC 1336 Pub.L. 
98-474) requires each person who manufactures, packages, or imports 
cigarettes to provide the Secretary of HHS with a list of ingredients 
added to tobacco in the manufacture of cigarettes. This legislation 
also authorizes HHS to undertake research, and to report to the 
Congress (as deemed appropriate), on the health effects of the 
ingredients.
    In 1993, OMB reinstated approval for collection of ingredients 
information (0920-0210) after the expiration of the previous approval; 
this current approval expires on December 31, 1996. The total cost to 
the respondent is estimated at $189,000.

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                                                                                          Average               
                                                                 No. of       No. of      burden/       Total   
                         Respondents                          respondents   responses/    response    burden (in
                                                                            respondent   (in hrs.)      hrs.)   
----------------------------------------------------------------------------------------------------------------
Tobacco manufacturers.......................................           14            1          190        2,660
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    3. The Fourth National Health and Nutrition Examination Survey 
(NHANES IV) Pretests--New--The National Health and Nutrition 
Examination Survey (NHANES) has been conducted periodically since 1970 
by the National Center for Health Statistics, CDC. NHANES IV is planned 
for 1998-2004 and two pretests are proposed to include 400 sample 
persons in each. They will receive an interview and a physical 
examination. The first pretest is needed to test the sampling process, 
data collection procedures, computer-assisted personal interviews 
(including translations into Spanish), examination protocols, and 
automated computer systems. The second pretest will test the revised 
survey questionnaires and examination procedures, quality control 
procedures and response rates. Participation in the pretests and the 
full survey will be completely voluntary and confidential.
    NHANES programs produce descriptive statistics which measure the 
health and nutrition status of the general population. Through the use 
of questionnaires, physical examinations, and laboratory tests, NHANES 
studies the relationship between diet, nutrition and health in a 
representative sample of the United States. NHANES monitors the 
prevalence of chronic conditions and risk factors related to health 
such as coronary heart disease, arthritis, osteoporosis, pulmonary and 
infectious diseases, diabetes, high blood pressure, high cholesterol, 
obesity, smoking, drug and alcohol use, environmental exposures, and 
diet. NHANES data are used to establish the norms for the general 
population against which health care providers can compare such patient 
characteristics as height, weight, and nutrient levels in the blood. 
Data from future NHANES can be compared to those from previous NHANES 
to monitor changes in the health of the U.S. population. NHANES IV will 
also establish a national probability sample of genetic material for 
future genetic testing for susceptibility to disease.
    Users of NHANES data include Congress; the World Health 
Organization; Federal agencies such as NIH, EPA, and USDA; private 
groups such as the American Heart Association; schools of public 
health; private businesses; individual practitioners; and 
administrators. NHANES data are used to establish, monitor, and 
evaluate recommended dietary allowances, food fortification policies, 
programs to limit environmental exposures, immunization guidelines and 
health education and disease prevention programs. The total cost to 
respondents for the two pretests is estimated at $54,600.

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                                                                            Number of   Avg. burden/    Total   
                         Respondents                           Number of    responses/    response    burden (in
                                                              respondents   respondent   (in hrs.)      hrs.)   
----------------------------------------------------------------------------------------------------------------
Children....................................................           80            1         2.75          220

[[Page 34843]]

                                                                                                                
Adolescents and Adults......................................          720            1         4.75         3420
                                                             ---------------------------------------------------
    Total...................................................                                                3640
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    4. The Second Longitudinal Study of Aging (LSOA II)--(0920-0219)--
Revision--The Second Longitudinal Study of Aging is a second 
generation, longitudinal survey of a nationally representative sample 
of civilian, non-institutionalized persons 70 years of age and older. 
Participation is voluntary, and individually identified data are 
confidential. It will replicate portions of the first Longitudinal 
Study of Aging (LSOA), particularly the causes and consequences of 
changes in functional status. LSOA II is also designed to monitor the 
impact of changes in Medicare, Medicaid, and managed care on the health 
status of the elderly and their patterns of health care utilization. 
Both LSOAs are joint projects of the National Center for Health 
Statistics (NCHS) and the National Institute on Aging (NIA).
    The Supplement on Aging (SOA), part of the 1984 National Health 
Interview Survey (NHIS), established a baseline on 7,527 persons who 
were then aged 70 and older. The first LSOA reinterviewed them in 1986, 
1988 and 1990. Data from the SOA and LSOA have been widely used for 
research and policy analysis relevant to the older population.
    Approximately 10,000 persons aged 70 and over were interviewed for 
the 1994 National Health Interview Survey's second Supplement on Aging 
(SOA II) between October of 1994 and March of 1996. LSOA II will 
reinterview the SOA II sample three times: in 1997, 1999, and 2001. As 
in the first LSOA, these reinterviews will be conducted using computer 
assisted telephone interviewing (CATI). Beyond that, LSOA II will use 
methodological and conceptual developments of the past decade.
    LSOA II will contain modules on scientifically important and 
policy-relevant domains, including: (1) assistance with activities of 
daily living, (2) chronic conditions and impairments, (3) family 
structure, relationships, and living arrangements, (4) health opinions 
and behaviors, (5) use of health, personal care and social services, 
(6) use of assistive devices and technologies, (7) health insurance, 
(8) housing and long-term care, (9) social activity, (10) employment 
history, (11) transportation, and (12) cognition. This new data will 
result in publication of new national health statistics on the elderly 
and the release of public use micro data files. The total cost to the 
respondents is estimated at $112,500.

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                                                                            Number of   Avg. burden/    Total   
                         Respondents                           Number of    responses/    response    burden (in
                                                              respondents   respondent   (in hrs.)      hrs.)   
----------------------------------------------------------------------------------------------------------------
Sample adult................................................       10,000            1          .75        7,500
                                                             ---------------------------------------------------
    Total...................................................                                               7,500
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    Dated: June 27, 1996.
Wilma G. Johnson,
Acting Associate Director for Policy Planning and Evaluation, Centers 
for Disease Control and Prevention (CDC).
[FR Doc. 96-16947 Filed 7-2-96; 8:45 am]
BILLING CODE 4163-18-P