[Federal Register Volume 72, Number 175 (Tuesday, September 11, 2007)]
[Notices]
[Page 51823]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-17837]



[[Page 51823]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-07-0398x]


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

    Evaluation of an Intervention to Increase Colorectal Cancer 
Screening in Primary Care Clinics-New-National Center for Chronic 
Disease Prevention and Health Promotion (NCDDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    Colorectal cancer (CRC) is the third most frequent form of cancer 
and the second leading cause of cancer-related deaths among both men 
and women in the United States. Research shows that screening can 
reduce both the occurrence of colorectal cancer and colorectal cancer 
deaths. Screening is beneficial for: (1) Detection and removal of 
precancerous polyps, resulting in patients recovering without 
progression to a diagnosis of cancer, and (2) early detection of CRC 
for more effective treatment and improved survival. Regular CRC 
screening is recommended for people aged 50 years and older. Many 
screening tests are widely available and screening has been shown to be 
effective in reducing CRC mortality. Despite this demonstrated 
effectiveness, CRC screening remains low. Some reasons attributed to 
the low screening rates include limited public awareness of CRC and the 
benefits of screening, failure of health care providers to recommend 
screening to patients, and inefficient surveillance and support systems 
in many health care settings.
    The purpose of this study is to evaluate and understand the effect 
of a multi-component intervention on CRC screening rates in primary 
care clinics. The study will also examine the effects of the 
intervention conditions on behavioral outcomes (e.g., clinician-patient 
discussions about CRC screening) and on attitudes, beliefs, opinions, 
and social influence surrounding CRC screening among patients. The 
target population includes average-risk patients aged 50-80 years, 
clinicians, and clinic support staff within the primary care clinics in 
two managed care organizations (MCOs). There are three tasks in this 
study. In Task 1, 140 primary care clinicians will complete a survey 
assessing demographics, opinions about preventive services, CRC 
screening training and practices, satisfaction with CRC screening, and 
CRC screening beliefs, facilitators, and barriers. The survey will be 
administered to primary care clinicians post-intervention. In Task 2, 
140 clinic support staff will complete a survey assessing demographics, 
work-related responsibilities, opinions about preventive services, CRC 
training and practices, satisfaction with CRC screening, and CRC 
screening beliefs, facilitators and barriers. The survey will be 
administered to clinic support staff post intervention. In Task 3, 
clinic patients will complete a survey assessing demographics, health 
status, receipt of previous CRC screening and other preventive 
services, knowledge and opinions about CRC and CRC screening, and 
social support. The survey will be administered to 3307 patients pre-
intervention and 3307 patients post-intervention.
    There will be no cost to respondents other than their time. The 
total estimated annualized burden hours are 2352.

                                       Estimate of Annualized Burden Hours
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                                                                                     Number of    Average burden
                           Respondents                               Number of     responses per   per  response
                                                                    respondents     respondent      (in hours)
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Clinicians......................................................             140               1           30/60
Clinic Support Staff............................................             140               1           25/60
Patients surveyed only at baseline..............................            2335               1           20/60
Patients surveyed at baseline and follow-up.....................             972               2           20/60
Patients surveyed only at follow-up.............................            2335               1           20/60
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    Dated: September 5, 2007.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E7-17837 Filed 9-10-07; 8:45 am]
BILLING CODE 4163-18-P