[Federal Register Volume 74, Number 89 (Monday, May 11, 2009)]
[Notices]
[Pages 21810-21811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-10938]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-09-08BL]


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

    Multi-site HIV Testing in Community Mental Health Settings Serving 
African Americans--New--National Center for HIV, Viral Hepatitis, STD 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    People with severe mental illness, including those with substance 
use disorders, are at increased risk of infection with human 
immunodeficiency virus (HIV) when compared with the general population. 
However, not enough is known about the risk behaviors, willingness to 
be tested for HIV, and prevalence of HIV among persons with severe 
mental illness. In addition, the interrelations among diagnosis of HIV, 
compliance with medical care, subsequent risk behaviors, and the course 
of mental illness have not been well-described. Mental health clinics 
are an important setting for testing and promoting prevention efforts 
against the transmission of HIV.
    The objectives of this project are to (1) demonstrate improved 
access to HIV testing and linkage to care in participating mental 
health care settings and (2) describe the relationship between mental 
illness, HIV risk behaviors, and access to testing and services, in 
order to inform the development of optimal prevention interventions for 
persons with severe mental illness. Staff at selected implementation 
sites will offer testing for HIV to clients and administer a brief 
survey to assess risk behaviors, previous access to similar testing 
services, and mental health symptoms. This project will collect data 
from clients using brief surveys administered on a voluntary basis. 
Collection of data will provide information on client demographics; 
current behaviors that may facilitate HIV transmission, including 
sexual and drug-use behaviors; current psychiatric symptoms, determined 
using brief rating scales; access and barriers to HIV testing, 
prevention, and treatment services; and adherence to psychiatric and 
medical treatment regimens. CDC is requesting approval for a 2-year 
clearance for data collection. Data will be collected in 6 sites which 
provide mental health services.
    The goal will be to approach 716 persons annually for participation 
in the study and interview a total of 600 persons. Based on the 
University of Pennsylvania's prior experience working in mental health 
settings, it is estimated that of the 716 approached for participation 
in the study, the response rate will be approximately 90%. Of the 644 
persons approached who agree to be

[[Page 21811]]

surveyed, it is estimated that 95% of persons will meet the eligibility 
criteria and 98% will be able to provide informed consent, as 
determined by the consent comprehension test. Therefore, the goal will 
be to interview a sample of 600 persons annually for two years; 300 in 
each of the two project areas of Baltimore and Philadelphia. The 
structured interview will take approximately 20 minutes to complete. 
Participation is voluntary. Data collection will provide important 
insights into the relationship between psychiatric illness and risk 
behaviors for HIV.
    There is no cost to the respondents other than their time. The 
total annualized burden hours are 313.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondent                    Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Approached individual.................  Eligibility Screener....             644               1            1/60
Eligible participant..................  Consent Questionnaire...             612               1           10/60
Consented participant.................  Core Questionnaire......             600               1           20/60
----------------------------------------------------------------------------------------------------------------


    Dated: May 5, 2009.
Marilyn S. Radke,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E9-10938 Filed 5-8-09; 8:45 am]
BILLING CODE 4163-18-P