[Federal Register Volume 72, Number 64 (Wednesday, April 4, 2007)]
[Notices]
[Pages 16368-16369]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-6275]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-07-06BD]


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 404-639-5960 
and send comments to Joan Karr, CDC Acting Reports Clearance Officer, 
1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail to 
[email protected].
    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 or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Economic Analysis of the National Breast and Cervical Cancer Early 
Detection Program--New National Center for Chronic Disease Prevention 
and Health Promotion (NCCDPHP), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    CDC administers the National Breast and Cervical Cancer Early 
Detection Program (NBCCEDP) that provides critical breast and cervical 
cancer screening services to underserved women in the United States, 
the District of Columbia, 4 U.S. territories, and 13 American Indian/
Alaska Native organizations. The program provides breast and cervical 
cancer screening for eligible women who participate in the program as 
well as diagnostic procedures for women who have abnormal findings. For 
the past decade, the NBCCEDP has provided over 5 million breast and 
cervical cancer screening and diagnostic exams to almost 2.1 million 
low-income women. Women diagnosed with cancer through the program are 
eligible for Medicaid coverage through the Breast and Cervical Cancer 
Prevention and Treatment Act passed by Congress in 2000.
    The NBCCEDP is the largest organized cancer screening program in 
the United States but to date there has been no systematic analysis of 
the economic costs incurred by the program. CDC is proposing to collect 
one year (period covering 07/01/2005-06/30/2006) of cost data from all 
the 68 NBCCEDP grantees to assess the cost and cost-effectiveness of 
the program. The information required to perform an activity-based cost 
analysis includes: staff and consultant salaries, screening costs, 
contracts and material costs, provider payments, in-kind contributions, 
administrative costs, allocation of funds and staff time devoted to 
specific program activities. CDC has developed and tested a draft 
questionnaire with 9 NBCCEDP grantees to assess the ability of the 
grantees to provide the cost data elements requested, identify the cost 
information required, and to complete the questionnaire within the 
allocated timeframe. The grantees were able to

[[Page 16369]]

complete the questionnaire with the instructions provided.
    The activity-based cost data provided by the 68 grantees will be 
used to evaluate the programs to ensure the most appropriate use of 
limited program resources. Performing an assessment of the resources 
expended on NBCCEDP will provide valuable information to the CDC and it 
partners for improving program efficiency within the various components 
of the NBCCEDP including screening, case management, outreach, and 
overall management. The detailed cost data will allow CDC to assess the 
costs of the various program components, identify factors that impact 
average cost, perform cost-effectiveness analysis and develop a 
resource allocation tool. The collection and analysis of the cost data 
will allow CDC to utilize a more systematic process to allocate program 
resources based on grantees' past performance, level of efficiency, and 
future needs.
    Since information on screening and diagnosis volumes (the 
effectiveness measures) are already collected as part of the Minimum 
Data Elements (MDEs), the additional burden on grantees to provide the 
requested cost data will be modest. If future cost data collection 
efforts are undertaken, the response burden would be further reduced 
because the infrastructure established to capture the data is already 
in place.
    There are no costs to respondents except their time to participate 
in the survey.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of        Number        burden per     Total burden
      Type of respondent            Form name       respondents    responses per   response  (in       hours
                                                                    respondent        hours)
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Program Director..............  Cost Assessment               68               1               4             272
                                 Tool.
Business Manager..............  ................              68               1               4             272
Data Manager..................  ................              68               1              14             952
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           1,496
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    Dated: March 28, 2007.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
 [FR Doc. E7-6275 Filed 4-3-07; 8:45 am]
BILLING CODE 4163-18-P