[Federal Register Volume 72, Number 93 (Tuesday, May 15, 2007)]
[Notices]
[Pages 27315-27316]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-9272]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-07-05DA]


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) 639-5960 or send an e-mail 
to [email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Surveillance of HIV/AIDS Related Events Among Persons Not Receiving 
Care-New-National Center for HIV, STD, and TB Prevention (NCHSTP), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    A committee from the Institute of Medicine (IOM) recently reviewed, 
at the request of Congress, the status of HIV/AIDS surveillance in the 
U.S. In the resulting report, three populations of interest were 
outlined, including persons infected with HIV, who have a diagnosis of 
HIV but are not receiving care.
    There are approximately 1 million HIV-infected persons in the 
United States. Of these, an estimated 75 percent know they are 
infected, but approximately half of those who know they are infected do 
not have evidence of having received any medical care for their HIV 
infection. Existing HIV/AIDS surveillance systems provide little 
information about HIV-infected persons who are not receiving care, 
especially those who have never entered care. In addition, an estimate 
of the size and immunologic status of the latter group is critically 
important for estimating resources needed to support linkage to care. 
Furthermore, identifying factors related to not being linked to care 
will be important in designing effective interventions.
    Based on the IOM recommendations and to address the needs described 
above, CDC is working with state and local health departments in five 
project areas to pilot a population-based supplemental surveillance 
system, ``Surveillance of HIV/AIDS Related Events Among Persons Not 
Receiving Care,'' also called the Never In Care (NIC) Project. The NIC 
Project is designed to describe HIV-infected persons who are at least 
90 days post diagnosis and have never received HIV care. The project 
will be conducted over a three-year period and will obtain data on a 
total of 1,000 persons (approximately 500 per year) with HIV/AIDS. The 
data collection will include interview-based data only.
    The methods were developed in light of recommendations from the 
IOM, an earlier population-based survey of persons receiving care for 
HIV infection, and earlier CDC pilots of population-based methods.
    For this proposed data collection, participating public health 
jurisdictions will conduct structured interviews with HIV-infected 
persons identified using their HIV/AIDS surveillance and supplemental 
laboratory databases or through HIV diagnostic and case management 
service providers. The target number of structured interviews is 1,000 
over 2 years of data collection. Qualitative interviews will be 
conducted with the first 75 persons who agree to a second interview. 
The information to be collected includes demographic data, HIV testing 
history, high-risk drug use and sexual behaviors, reasons for not using 
health care and treatment, and unmet needs.
    Results from this project will be used to develop estimates of the 
medical services and resources needed for persons who are infected with 
HIV, but who have not received medical care and treatment. 
Additionally, new data related to those not receiving care may be used 
to design effective interventions for linking persons to care. The data 
will have implications for policy, program development, and resource 
allocation at the state/local and national levels.
    Users of NIC data include, but are not limited to, Federal 
agencies, state and local health departments, clinicians, researchers, 
and HIV prevention and care planning groups. Participation in the data 
collection is voluntary and there is no cost to respondents to 
participate in the survey other than their time. The total estimated 
annualized burden hours is 325.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
                    Types of data collection                        respondents    responses per   response (in
                                                                                    respondent        hours)
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Structured Interview............................................             500               1           30/60
Qualitative Interview...........................................              75               1               1
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[[Page 27316]]

    Dated: May 7, 2007.
Maryam Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E7-9272 Filed 5-14-07; 8:45 am]
BILLING CODE 4163-18-P