[Federal Register Volume 65, Number 244 (Tuesday, December 19, 2000)]
[Notices]
[Pages 79370-79371]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-32204]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control And Prevention

[60Day-01-08]


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, the Center for Disease Control and 
Prevention is providing opportunity for public comment on proposed data 
collection 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 Anne O'Connor, CDC 
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24, 
Atlanta, GA 30333. Written comments should be received within 60 days 
of this notice.

Proposed Project

    Linking Epidemiologic Research to Disease Prevention: A Pilot 
Program to Test Approaches for Communicating Increased Risk of Cervical 
Cancer to Female Workers in the Dry-Cleaning Industry --NEW--National 
Institute for Occupational Safety and Health (NIOSH), Centers for 
Disease Control and Prevention (CDC).
    The National Institute for Occupational Safety and Health (NIOSH) 
has conducted worker notification formally since 1988. This program 
informs workers in NIOSH-conducted epidemiological studies about the 
study results and hence, of their risks. The intervention research to 
be conducted under this application will extend the risk communication 
beyond the mortality study cohort (an aging and mostly retired cohort) 
to similarly exposed women, younger and still employed.
    Several studies, including one conducted at NIOSH, have documented 
elevated mortality from cancer among dry cleaning workers. Some of the 
cancers involved--most notably cervical cancer--can be successfully 
treated if detected early. Thus, along with better hazard control, 
better secondary disease prevention is urgently needed to help women 
workers already exposed. Exiting NIOSH procedures for notifying workers 
about the agency's research findings seem unlikely to reach the larger 
at-risk population of women dry cleaners who were not actually study 
subjects.
    The ultimate purpose of this research is to increase understanding 
of how to encourage medical screening among workers at risk. The 
project has two main objectives: (1) To assess descriptively the 
feasibility and potential public health benefits of a broader than 
usual approach to NIOSH worker notification about occupational health 
risks, based on results of NIOSH epidemiologic research; and (2) to 
determine whether a follow-up reminder about the importance of medical 
screening makes a significant difference in the notified workers' long-
term health behavior.
    The primary study population will consist of a minimum 300 current 
female dry cleaning workers in New York City (ages 18-65), selected 
from the membership list (a respondent universe of 375) from the dry 
cleaners' local labor union. A separate population of 100 former dry 
cleaning workers randomly selected from a cohort list of approximately 
226 surviving women dry cleaners in a NIOSH cohort mortality study will 
provide descriptive data only and will not be included in the data 
analysis of the primary group of currently employed dry cleaners. All 
study participants will be mailed a packet of risk information from 
NIOSH, along with a letter of endorsement of the study from the local 
union in New York, encouraging participation in the study. The risk 
information packet will include the NIOSH mortality study results as 
well as other information about cancer and cancer screening, with a 
special emphasis on cervical cancer screening.
    Brief (15-minute) telephone interviews will follow the mailed 
notifications to workers and will be used to evaluate (1) the effects 
of an intervention (mailed written notification materials) on post-
intervention cervical cancer screening behaviors; and (2) the effects 
of a reminder message mailed six months after the initial notification.
    The effect of the first intervention will be measured by comparing 
the pre- and post-intervention screening behaviors

[[Page 79371]]

for the year prior to the intervention. The effect of the second 
intervention will be evaluated experimentally (using a control group), 
measuring the screening behaviors from the time of the reminder letter 
to the Time-2 interview 6 months later, compared to the screening 
behaviors at the Time-1 interview.
    These intervention evaluations will address barriers to cervical 
screening and also will allow insight into the following questions:

    1. Does the outreach message have a long-term impact concerning 
the use of cancer screening services (message retention and actual 
screening behavior)?
    2. Does receiving a screening reminder affect message retention 
and actual screening behavior?

    The total cost to all respondents (current dry cleaners and 
surviving dry cleaners from the NIOSH mortality study) in the two-year 
study is estimated at $2733.46 based on an average wage of $10.79 per 
hour.

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                                                                                        Avg. burden
                                                                 No. of       No. of        Per         Total
                         Respondents                          respondents   responses     response   burden  (in
                                                                                         (in hrs.)      hrs.)
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Year 1......................................................          400            1        20/60        133.3
Year 2......................................................          360            1        20/60        120.0
                                                             ---------------------------------------------------
    Total...................................................  ...........  ...........  ...........        253.3
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    Dated: December 8, 2000.
Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation Centers 
for Disease Control and Prevention, (CDC).
[FR Doc. 00-32204 Filed 12-18-00; 8:45 am]
BILLING CODE 4163-18-P