[Federal Register Volume 64, Number 36 (Wednesday, February 24, 1999)]
[Notices]
[Pages 9156-9160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-4509]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[30DAY-08-99]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of

[[Page 9157]]

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 Project

    1. 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 annual burden 
hours are 51,414.

----------------------------------------------------------------------------------------------------------------
                                                                                      No. of      Average burden/
                         Burden category                              No. of        responses/     response (in
                                                                    respondents     respondent         hrs.)
----------------------------------------------------------------------------------------------------------------
1. Screening interview only.....................................          13,467               1           0.167
2. Screener and household interviews only.......................             710               1           0.434
3. Screener, household, and SP interviews only..................           1,066               1           1.100
4. Screener, household, and SP interviews and primary MEC exam             5,257               1           6.613
 only...........................................................
5. Screener, household, and SP interviews, primary MEC exam and              263               1          11.613
 full MEC replicate exam........................................
6. Screener, household, and SP interviews, MEC exam and dietary            1,052               1           8.363
 replicate interview only (5% + optional 15%)...................
7. Home exam....................................................              71               1           2.700
8. Telephone follow-up of elderly -option.......................           1,167               1           0.750
----------------------------------------------------------------------------------------------------------------

    2. The National Nursing Home Survey (NNHS)--(0920-0353)--
Reinstatement--The National Center For Health Statistics(NCHS)--Section 
306 of the Public Health Service Act states that the National Center 
for Health Statistics ``shall collect statistics on health resources * 
* * [and] utilization of health care, including utilization of * * * 
services of hospitals, extended care facilities, home health agencies, 
and other institutions.'' The data system responsible for collecting 
this data is the National Health Care Survey (NHCS). The National 
Nursing Home Survey (NNHS) is part of the Long-term Care Component of 
the NHCS. The NNHS was conducted in 1973-74, 1977, 1985, 1995, and 
1997. NNHS data describe this major segment of the long-term care 
system and are used extensively for health care research, health 
planning and public policy. The survey provides detailed information on 
utilization patterns needed in order to make accurate assessments of 
the effects of health care reform on the elderly. The NNHS also 
provides detailed information to assess the need for and costs 
associated with such care. The use of long-term care services will 
become an increasingly important issue as the population continues to 
age. Data from earlier NNHS collections have been used by the National 
Immunization Program at CDC, Office of the U.S. Attorney General, the 
Bureau of Health Professionals, the National Institute of Dental and 
Craniofacial Research at NIH, the Agency for Health Care Policy and 
Research, the American Health Care Association, Johnson and Johnson 
Pharmaceutical, the Rand Corporation and by several newspapers and 
journals. NNHS data cover: baseline data on the characteristics of 
nursing homes in relation to their residents and staff, Medicare and 
Medicaid certification, costs to residents, sources of payment, 
residents' functional status and diagnoses. Data collection is planned 
for the period July-November, 1999. Survey design is in process now. 
Sample selection and preparation of layout forms will precede the data 
collection by several months. The total annual burden hours are 4,500.

[[Page 9158]]



----------------------------------------------------------------------------------------------------------------
                                                                                      No. of      Average burden/
                           Respondents                                No. of        responses/     response (in
                                                                    respondents     respondent         hrs.)
----------------------------------------------------------------------------------------------------------------
Facility Questionnaire..........................................           1,500               1           0.333
Current Resident Sampling List..................................           1,500               1           0.333
Current Resident Questionnaire..................................           1,500               6           0.17
Discharged Resident Sampling List...............................           1,500               1           0.333
Discharged Resident Questionnaire...............................           1,500               6           0.17
----------------------------------------------------------------------------------------------------------------

    3. Provider Survey of Partner Notification and Partner Management 
Practices Following Diagnosis of a Sexually-Transmitted Disease (0920-
0431)--Reinstatement--The National Center for HIV, STD, and TB 
Prevention (NCHSTP), Division of STD Prevention, CDC is proposing to 
conduct a national survey of physician's partner management practices 
following the diagnosis of a sexually-transmitted disease. Partner 
notification, a technique for controlling the spread of sexually-
transmitted diseases is one of the five key elements of a long standing 
public health strategy to control sexually-transmitted infections in 
the US. At present, there is very little knowledge about partner 
notification practices outside public health settings despite the fact 
that most STD cases are seen in private health care settings. No 
descriptive data currently exist that allow the Centers for Disease 
Control and Prevention to characterize partner notification practices 
among the broad range of clinical practice settings where STDs are 
diagnosed, including acute or urgent care, emergency room, or primary 
and ambulatory care clinics. The existing literature contains 
descriptive studies of partner notification in public health clinics, 
but no baseline data exist as to the practices of different physician 
specialties across different practice settings.
    The CDC proposes to fill that gap through a national sample survey 
of 7,000 physicians who treat patients with STDs in a wide variety of 
clinical settings; an 80% completion rate is anticipated (n=5,040 
surveys). This survey will provide the baseline data necessary to 
characterize infection control practices, especially partner 
notification practices, for syphilis, gonorrhea, HIV, and chlamydia and 
the contextual factors that influence those practices. Findings from 
the proposed national survey of physicians will assist CDC to better 
focus STD control and partner notification program efforts and to 
allocate program resources appropriately. Without this information, CDC 
will have little information about STD treatment, reporting, and 
partner management services provided by physicians practicing in the 
US. With changes underway in the manner in which medical care is 
delivered and the move toward managed care, clinical functions 
typically provided in the public health sector will now be required of 
private medical providers. At present, CDC does not have sufficient 
information to guide future STD control efforts in the private medical 
sector.
    The current OMB approval for this collection covered the pilot only 
and expired on October 31, 1998. The pilot varied the respondent 
payment to equal subsections of the sample using amounts of $0, $15, 
and $25. The re-submission of the full information collection package 
will include a description of the results of the pilot including 
details of the response rates overall and break down by use of the 
various response rates. The total annual burden hours are 2,268.

----------------------------------------------------------------------------------------------------------------
                                                                                      No. of      Average burden/
                           Respondents                                No. of        responses/     response (in
                                                                    respondents     respondent         hrs.)
----------------------------------------------------------------------------------------------------------------
Clinicians who see STDs.........................................           4,032               1            0.5
Clinicians who do not see STDs..................................           1,008               1             .25
----------------------------------------------------------------------------------------------------------------

    4. School Health Policies and Programs Study 2000 (SHPPS 2000)--
New--The National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP). The purpose of this request is to obtain OMB 
clearance to conduct a study of school health policies and programs in 
elementary, middle/junior, and senior high schools nationwide. A 
similar study was conducted in 1994 (OMB No. 0920-0340). SHPPS 2000 
will assess the characteristics of eight components of school health 
programs at the elementary, middle/junior, and senior high school 
levels: health education, physical education and activity, health 
services, food service, school policy and environment, mental health 
and social services, faculty and staff health promotion, and family and 
community involvement. SHPPS 2000 data will be used to provide end-of-
decade measures for 18 national health objectives for 2000 and as a 
baseline measure for at least 17 draft objectives for 2010. No other 
national source of data exists for these 2000 and draft 2010 
objectives. The data also will have significant implications for policy 
and program development for school health programs nationwide. The 
total annual burden hours are 26,416.

                      Annual Burden Hours for SHPPS 2000 Main Data Collection, Spring 2000
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of     Burden hours
              Questionnaire/activity                         Respondent             respondents   per respondent
----------------------------------------------------------------------------------------------------------------
State Health Education...........................  State officials..............              51            1.00
State Physical Education and Activity............  State officials..............              51            1.00
State Health Services............................  State officials..............              51            1.00
State Food Service...............................  State officials..............              51            1.00
State Questionnaire on School Policy and           State officials..............              51            1.25
 Environment.
State Mental Health and Social Services..........  State officials..............              51            1.00

[[Page 9159]]

 
State Faculty and Staff Health Promotion.........  State officials..............              51            0.50
Assist with identifying state level respondents    State officials..............              51            1.00
 and with recruiting districts and schools.
District Health Education........................  District officials...........            1148            1.00
District Physical Education and Activity.........  District officials...........            1148            1.00
District Health Services.........................  District officials...........            1148            1.00
District Food Service............................  District officials...........            1148            1.00
District Questionnaire on School Policy and        District officials...........            1148            1.25
 Environment.
District Mental Health and Social Services.......  District officials...........            1148            1.00
District Faculty and Staff Health Promotion......  District officials...........            1148            0.50
Assist with identifying district and school level  District officials...........             350            1.00
 respondents and with recruiting schools.
Assist with identifying and scheduling school      School officials.............            1539            1.00
 level respondents.
School Health Education..........................  Health education lead                    1539            1.00
                                                    teachers, principals, or
                                                    designees.
School Physical Education and Activity...........  Physical education lead                  1539            1.00
                                                    teachers, principals, or
                                                    designees.
School Health Services...........................  School nurses, principals, or            1539            1.00
                                                    designees.
School Food Service..............................  Food service managers,                   1539            1.00
                                                    principals, or designees.
School Questionnaire on School Policy and          Principals or designees......            1539            1.50
 Environment.
School Mental Health and Social Services.........  Counselors, principals, or               1539            1.00
                                                    designees.
School Faculty and Staff Health Promotion........  Principals or designees......            1539            0.50
Health Education Classroom Teacher...............  Health education teachers                2309            0.80
                                                    (Average 1.5 per school).
Physical Education and Activity Classroom Teacher  Physical education teachers              3078            0.80
                                                    (Average 2 per school).
----------------------------------------------------------------------------------------------------------------


                         Annual Burden Hours for Validity/Reliability Study, Spring 2000
----------------------------------------------------------------------------------------------------------------
                                                                                                   Burden hours
                  Questionnaire                              Respondent              Number of          per
                                                                                    respondents     respondent
----------------------------------------------------------------------------------------------------------------
State Health Education...........................  State officials..............              32            0.25
State Physical Education and Activity............  State officials..............              32            0.25
State Health Services............................  State officials..............              32            0.20
State Food Service...............................  State officials..............              32            0.20
State Questionnaire on School Policy and           State officials..............              32            0.40
 Environment.
State Mental Health and Social Services..........  State officials..............              32            0.25
State Faculty and Staff Health Promotion.........  State officials..............              32            0.20
District Health Education........................  District officials...........              82            0.25
District Physical Education and Activity.........  District officials...........              82            0.25
District Health Services.........................  District officials...........              82            0.20
District Food Service............................  District officials...........              82            0.20
District Questionnaire on School Policy and        District officials...........              82            0.40
 Environment.
District Mental Health and Social Services.......  District officials...........              82            0.25
District Faculty and Staff Health Promotion......  District officials...........              82            0.40
School Health Education..........................  Health education lead                      82            0.80
                                                    teachers, principals, or
                                                    designees.
School Physical Education and Activity...........  Physical education lead                    82            0.80
                                                    teachers, principals, or
                                                    designees.
School Health Services...........................  School nurses, principals, or              82            0.80
                                                    designees.
School Food Service..............................  Food service managers,                     82            0.80
                                                    principals, or designees.
School Questionnaire on School Policy and          Principals or designees......              82            1.25
 Environment.
School Mental Health and Social Services.........  Counselors, principals, or                 82            0.80
                                                    designees.
School Faculty and Staff Health..................  Principals or designees......              82            0.40
Promotion Health Education Classroom Teacher.....  Health education teachers                  82            0.80
                                                    (Average 1.5 per school).
Physical Education and Activity Classroom Teacher  Physical education teachers                82            0.80
                                                    (Average 2 per school).
----------------------------------------------------------------------------------------------------------------


[[Page 9160]]


                              Annual Burden Hours for SHPPS Field Test, Spring 1999
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of     Burden hours
                  Questionnaire                              Respondent             respondents   per respondent
----------------------------------------------------------------------------------------------------------------
District Health Education........................  District officials...........               9            2.00
District Physical Education and Activity.........  District officials...........               9            2.00
District Health Services.........................  District officials...........               9            2.00
District Food Service............................  District officials...........               9            2.00
District Questionnaire on School Policy and        District officials...........               9            2.50
 Environment.
District Mental Health and Social Services.......  District officials...........               9            2.00
District Faculty and Staff Health Promotion......  District officials...........               9            1.00
School Questionnaire on School Policy and          Principals or designees......              80            3.00
 Environment (interview and reinterview).
Health Education Classroom Teacher (interview and  Health education teachers....              80            1.60
 reinterview).
----------------------------------------------------------------------------------------------------------------


       Annual Burden Hours Across All SHPPS 2000 Study Components
------------------------------------------------------------------------
                                             Number of     Total burden
             Study component                respondents        hours
------------------------------------------------------------------------
Main Study Data Collection, Spring 2000.          26,493        25,115.9
Validity/Reliability Study, Spring 2000.           1,536           810.4
Field Test, Spring 1999.................             223           489.5
                                         -------------------------------
    Total...............................          28,252        26,415.8
------------------------------------------------------------------------

Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation, Centers 
for Disease Control and Prevention (CDC).
[FR Doc. 99-4509 Filed 2-23-99; 8:45 am]
BILLING CODE 4163-18-P