[Federal Register Volume 76, Number 189 (Thursday, September 29, 2011)]
[Notices]
[Pages 60497-60498]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-25009]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-11-11AI]


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) 395-5806. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Measuring Preferences for Quality of Life for Child Maltreatment--
New--National Center for Injury Prevention and Control (NCIPC), 
Division of Violence Prevention (DVP), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    Child maltreatment (CM) is a major public health problem in the 
United States, causing substantial morbidity and mortality (DHHS, 
2010), and the prevalence for any of the three major types of CM 
(physical abuse, sexual abuse, and neglect) is estimated at 
approximately 28% (Hussey et al., 2006). Additionally, the annual 
incidence of any type of CM among children and adolescents 0-17 has 
been estimated at nearly 14%, while physical and sexual abuse are 
estimated at 3.7% and 0.6%, respectively (Finkelhor et al., 2005). CM 
has been shown to have lifelong adverse physical and mental health 
consequences for victims (Felitti et al., 1998), including behavioral 
problems (Felitti et al. 1998; Repetti et al. 2002), mental health 
conditions such as post-traumatic stress disorder (PTSD) (Browne and 
Finkelhor, 1986; Holmes and Sammel, 2005; Moeller and Bachman, 1993), 
increased trouble with interpersonal relationships (Fang and Corso, 
2007), increased risk of chronic diseases (Browne and Finkelhor, 1986), 
and lasting impacts or disability from physical injury (Dominguez et 
al. 2001). The consequences of CM have both a direct impact, through 
reduced health, as well as an indirect impact, through reduced health-
related quality of life (HRQoL, or simply QoL), the state of 
``utility'' or satisfaction that a person experiences as a result of 
their health (Drummond et al. 1997).
    The CDC requests approval of a survey-based study to measure the 
Health-Related Quality-of-Life (HRQoL) impacts resulting from child 
maltreatment (CM) using a quantitative, preference-based approach. The 
U.S. Department of Health and Human Services, among many others, has 
identified child maltreatment as a serious U.S. public health problem 
with substantial long-term physical and psychological consequences. 
Despite considerable research on the consequences of CM in adults, few 
studies have utilized standard HRQoL techniques and none have 
quantified childhood HRQoL impacts. This gap in the literature means 
the full burden of CM on HRQoL has not been measured, inhibiting the 
evaluation and comparison of CM intervention programs. This study will 
improve public health knowledge and economic evaluation of the HRQoL 
impacts of CM, including effects specific to juvenile and adolescent 
victims, through the development and fielding a preference-based survey 
instrument.
    CDC has developed an exploratory survey instrument to quantify the 
HRQoL impacts of child maltreatment following standardized HRQoL 
methods. The survey was developed based on findings from a literature 
review of CM outcomes, focus groups with adult CM victims, and expert 
review of outcomes by clinician consultants who work with children and/
or adults who were victims of CM or who are researchers in the field of 
CM. The survey is designed to quantify two types of data. The main 
objective is the HRQoL decrement attributable to CM, measured as the 
difference in HRQoL scores by CM victimization history. A secondary 
objective is a statistical evaluation of these decrements, based on 
respondent preferences over a series of comparisons that will be shown 
to survey respondents.
    The online survey will be fielded to a nationally-representative 
sample of 750 adults ages 18-29 and 1100 adults ages 18 and up, for a 
total of 1850 U.S. adults. The survey will include HRQoL questions to 
capture the two types of data above, as well as select items on 
sociodemographics. Past exposure to CM will be measured using the Child 
Trauma Questionnaire (CTQ), the briefest and most nonintrusive set of 
scientifically validated questions to identify 5 types of past child 
abuse and neglect.
    Final results will provide an estimate of the HRQoL burden of child 
maltreatment in the United States. Analysis and results of the survey 
data may provide suggestive information on the impacts of CM to the 
scientific and public health communities to help determine whether 
future studies using similar methods should be conducted after this 
exploratory study. There is no cost to respondents other than their 
time. The total estimated annual burden hours are 771.

[[Page 60498]]



                                        Estimated Annualized Burden Hours
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                                                                                      Number      Average burden
         Type of respondent                    Form name             Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Adults, age 18-29...................  Health Related Quality of              750               1           25/60
                                       Life Survey.
Adults, age 18+.....................  Health Related Quality of             1100               1           25/60
                                       Life Survey.
----------------------------------------------------------------------------------------------------------------


    Dated: September 22, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-25009 Filed 9-28-11; 8:45 am]
BILLING CODE 4163-18-P