[Federal Register Volume 63, Number 65 (Monday, April 6, 1998)]
[Notices]
[Pages 16817-16818]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-8907]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[30DAY-11-98]


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 a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-7090. Send written 
comments to CDC, Desk Officer; Human Resources and Housing Branch, New 
Executive Office Building, Room 10235; Washington, DC 20503. Written 
comments should be received within 30 days of this notice.

Proposed Projects

    1. The Fourth National Health and Nutrition Examination Survey 
(NHANES IV)--(0920-0237)--Reinstatement--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 to include 40,000 sample persons. They will 
receive an interview and a physical examination. A pretest of 400 
people and a dress rehearsal of 555 are needed to test the sampling 
process, data collection procedures, computer-assisted personal 
interviews (including translations into Spanish), examination 
protocols, automated computer systems and quality control procedures. 
Participation in the pretest 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 burden hour 
estimate in this notice is based on the request for OMB approval for 
the pretest, dress rehearsal and the first 2.25 years of the full 
survey. Total annual burden hours are 42,411.

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                                                                                          Average               
                                                  Annualized   Number of     Hours as     burden/       Total   
                                                  number of    responses/    minutes      response    burden (in
                                                 respondents   respondent                (in hrs.)      hrs.)   
----------------------------------------------------------------------------------------------------------------
Screener only..................................        13467            1        10/60        0.167         2249
Scm/Fam only...................................          710            1        26/60        0.434          308
Scm/Fam/HH only................................         1066            1       366/60        6.101         1604
Scrn/Fam/HH/Prim. Mec exam only (no TB)*.......          263            1       366/60        6.101         1604
Scrn/Fam/HH/Prim. Mec+TB read at Mec*..........         2366            1       436/60        7.268        17193
Scrn/Fam/HH/Prim. Mec+TB read at home*.........         2628            1       371/60        6.184        16254
Full replicate exam at Mec & travel............          263            1       300/60        5.000         1314
Replicate dietary recall only (5%) & travel....          263            1       105/60        1.750          460
Additional dietary recall option (extra 15%)...          789            1       105/60        1.750         1380
Scrn/Fam/HH/Home exam (no TB)..................            7            1       116/60        1.931           14
Scrn/Fam/HH/Home exam (TB read at home)........           64            1       161/60        2.681          171
Telephone followup of elderly-option...........         1165            1        15/60        0.250         291 
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* Note: Burden hours per response for full participation = 6.6 hrs. including travel time, are based on these   
  three categories only. It would be misleading to tell respondents what the burden is for full participation if
  other categories were included which would reduce the average burden hours per respondent, such as the 10-    
  minute screener-only or home exam.                                                                            
Scrn = Screener questionnaire                                                                                   
Fam = Family questionnaire                                                                                      
HH = Household questionnaire                                                                                    
Prim.Mec = Primary Mec exam                                                                                     
TB = Tuberculosis skin test reading.                                                                            

    2. Sentinel Surveillance for Chronic Liver Disease--New--A 
questionnaire has been designed to collect information for the Sentinel 
Surveillance for Chronic Liver Disease project. The purpose of the 
project is to determine the incidence

[[Page 16818]]

and period prevalence of physician-diagnosed chronic liver disease in a 
defined geographic area, the contribution of chronic viral hepatitis to 
the burden of disease, and the influence of etiologic agents(s) and 
other factors on mortality, and to monitor the incidence of and 
mortality from chronic lever disease over time. The information 
gathered will be analyzed, in conjunction with data collected from 
other sources, to address these questions. The results of the project 
will assist the Hepatitis Branch, Division of Viral and Rickettsial 
Diseases, National Center for Infectious Diseases, in accomplishing the 
part of its mission related to preparing recommendations for the 
prevention and control of all types of viral hepatitis and their 
sequellae. In order to focus prevention efforts and resource 
allocation, a representative view of the overall burden of chronic 
liver disease, its natural history, and the relative contribution of 
viral hepatitis is needed. Total annual burden hours are 150.

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                        Number of       Average burden/                 
     Number of          responses/       response (in     Total  burden 
    respondents         respondent           hrs.)          (in hrs.)   
------------------------------------------------------------------------
300...............             1                0.5              150    
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    3. Foreign Quarantine Regulations--(0920-0134)--Reinstatement--
Section 361 of the Public Health Service (PHS) Act (42 U.S.C. 264) 
authorizes the Secretary of Health and Human Services to make and 
enforce regulations necessary to prevent the introduction, 
transmission, or spread of communicable diseases from foreign countries 
into the United States. Legislation and the existing regulations 
governing quarantine activities (42 CFR Part 71) authorize quarantine 
officers and other personnel to inspect and undertake necessary control 
measures with respect to conveyances, persons, and shipments of animals 
and etiologic agents in order to protect the public health. Currently, 
with the exception of rodent inspections and the cruise ship sanitation 
program, inspections are performed only on those vessels and aircraft 
which report illness prior to arrival or when illness is discovered 
upon arrival. Other inspection agencies assist quarantine officers in 
public health screening of persons, pets, and other importations of 
public health importance and make referrals to PHS when indicated. 
These practices and procedures assure protection against the 
introduction and spread of communicable diseases into the United States 
with a minimum of recordkeeping and reporting, as well as a minimum of 
interference with trade and travel.
    Respondents would include airplane pilots, ships' captains, 
importers, and travelers. The nature of the quarantine would dictate 
which forms are completed by whom. Thus, the ``respondents'' portion of 
the information below is replaced by the requisite form title. Total 
annual burden hours are 122.

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                                                                                                     Number of    Total No.                             
                    Citation                                    Form No.                Number of    responses/       of         Burden/    Total burden
                                                                                       respondents   respondent   responses     response                
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Reporting:                                                                                                                                              
    71.21.......................................  ...................................         1450            1         1450         0.016          24  
    71.33(c)....................................  ...................................           10            1           10         0.5             5  
    71.35.......................................  ...................................            6            1            6         0.05            0.3
    71.51(b)(3).................................  ...................................            5            1            5         0.05            0.3
    71.51(d)....................................  CDC 75.37..........................          350            1          350         0.166          58.3
    71.52(d)....................................  ...................................           10            1           10         0.5             5.0
    71.53(d)....................................  CDC 75.10A.........................           40            1           40         0.166           6.6
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Total Reporting.................................  ...................................         1871  ...........         1871  ............          99.2
Recordkeeping 71.53(e)..........................  ...................................           90            1           90         0.25           22.5
Total Recordkeeping.............................  ...................................           90  ...........           90  ............          22.5
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    Dated: March 31, 1998.
Kathy Cahill,
Associate Director for Policy Planning and Evaluation, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 98-8907 Filed 4-3-98; 8:45 am]
BILLING CODE 4163-18-P