[Federal Register Volume 63, Number 204 (Thursday, October 22, 1998)]
[Notices]
[Pages 56654-56655]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-28304]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-99-01]
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 on (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 Seleda Perryman, CDC
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24,
Atlanta, GA 30333. Written comments should be received within 60 days
of this notice.
1. Proposed Project
The State and Local Area Integrated Telephone Survey (SLAITS)--
(0920-0406)-Revision--The National Center for Health Statistics, (NCHS)
is planning to expand from the short term pilot study phase to a long
term integrated and coordinated survey system designed to collect
needed health and welfare data at the state and local levels. Using the
random-digit-dialing sampling frame from the ongoing National
Immunization Survey (NIS) and Computer Assisted Telephone Interviewing
(CATI), the State and Local Area Integrated Telephone Survey (SLAITS)
can quickly collect and produce data to monitor health status, child
and family well-being, health care utilization, access to care, program
participation, and changes in health care coverage at the state and
local levels. These efforts are conducted in cooperation with state and
local officials. SLAITS offers a centrally administered data collection
mechanism with standardized questionnaires and quality control measures
which allow comparability of estimates between states, over time, and
with national data. As demonstrated in the pilot study phase, SLAITS is
designed to allow for oversampling of population subdomains and to meet
federal, state and local needs for subnational estimates which are
compatible with national data.
Questionnaire content is drawn from existing surveys such as the
National Health Interview Survey (NHIS), the National Health and
Nutrition Examination Survey (NHANES), the Current Population Survey
(CPS), the Survey of Income and Program Participation (SIPP), the
National Household Education Survey, and the National Survey of
America's Families, as well as the three questionnaire modules that
were developed for SLAITS during the pilot study phase. These modules
include Health, Child Well-Being and Welfare, and Children's Health
Insurance and Health Care Utilization.
The strategy of building on established survey systems provides
several advantages. It is less costly than establishing a new system;
the proposed questions have been thoroughly tested; and implementation
can occur rapidly. Basing SLAITS on questions from the NHIS, CPS, and
other national in-person surveys will allow for comparisons with
national data. In addition, the quality of the estimates developed from
the telephone survey can be improved with adjustments for households
without telephones using health and socio-demographic information from
telephone and non telephone households from the NHIS and other in-
person surveys.
Funding for SLAITS is being sought through a variety of mechanisms
including Foundation grants, State collaborations, and federal
appropriation and evaluation monies. The level of implementation will
depend on the amount of funding received and can be expanded as funding
permits. Questionnaire modules will be compiled to address the data
needs of interest to the federal, state or
[[Page 56655]]
local funding agency or organization. The total cost to respondents is
estimated at $463,500.
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Number of Average burden/
Respondents Number of responses/ response in Total burden
respondents respondents hrs.) (in hrs.)
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Noninstitutionalized household population in 50
States and D.C................................. 102,000 1 0.30 30,600
Pretest modules................................. 900 1 0.30 300
Total..................................... .............. .............. .............. 30,900
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2. The National Health and Nutrition Examination Survey (NHANES)--
(0920-0237)--Revision--The National Center for Health Statistics
(NCHS). The National Health and Nutrition Examination Survey (NHANES)
has been conducted periodically since 1970 by NCHS. NHANES will begin
again in February 1999 and will be conducted on a continuous, rather
than periodic, basis from that point on. The plan is to sample about
5,000 persons annually. They will receive an interview and a physical
examination. A dress rehearsal of 555 sample persons is needed to test
computer-assisted personal interviews (including translations into
Spanish), examination protocols, automated computer systems and quality
control procedures. Participation in the dress rehearsal and main
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 NHANES can be compared to those from previous surveys to
monitor changes in the health of the U.S. population. NHANES will also
establish a national probability sample of genetic material for future
genetic research 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. Approval was received
on 5/29/98 for only a pilot test of the revised survey--without the
genetic research component. This submission requests three year
approval for the dress rehearsal and the full survey, including all
components.
The survey description, contents, and uses are the same as those in
the Federal Register notice for the pilot test. The total cost to
respondents for the period covered by this notice is estimated at
$1,889,440.
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Number of Average burden/
Burden category Number of responses/ response (in Total burden
respondents respondent hrs.) (hours)
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1. Screening interview only..................... 40,401 1 0.167 6,747
2. Screener and household interviews only....... 2,130 1 0.434 924
2. Screener, household, and SP interviews only.. 3,198 1 1.100 3,518
3. Screener, household, and SP interviews and
primary MEC exam only.......................... 15,771 1 6.613 104,294
4. Screener, household, and SP interviews,
primary MEC exam and full MEC replicate exam... 789 1 11.613 9,163
5. Screener, household, and SP interviews, MEC
exam and dietary replicate interview only (5% +
optional 15%).................................. 3,156 1 8.363 26,394
6. Home exam.................................... 213 1 2.700 575
7. Telephone follow-up of elderly -option....... 3,501 1 0.750 2,626
Total..................................... .............. .............. .............. 154,240
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Dated: October 15, 1998.
Charles W. Gollmar,
Acting Associate Director for Policy, Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 98-28304 Filed 10-21-98; 8:45 am]
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