[Federal Register Volume 77, Number 57 (Friday, March 23, 2012)]
[Notices]
[Pages 17063-17064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-7028]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-12-0740]


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) 639-7570 or send an email 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

    Medical Monitoring Project (MMP)--0920-0740, exp. 5/31/2012--
Extension with change--National Center for HIV, Hepatitis, STD and TB 
Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    This proposed data collection supplements the HIV/AIDS surveillance 
programs in 23 selected state and local health departments, which 
collect information on persons diagnosed with, living with, and dying 
from HIV infection and AIDS and will incorporate data elements from two 
data collections: Supplement to HIV/AIDS Surveillance (SHAS) project 
(0920-0262) and the Adult/Adolescent Spectrum of HIV Disease (ASD). 
Both projects stopped data collection in 2004.
    Although CDC receives surveillance data from all U.S. states, these 
supplemental surveillance data are needed to make population-based 
national estimates of key indicators, related to the quality of HIV-
related ambulatory care, the severity of need for HIV-related care and 
services, and HIV-related behaviors and clinical outcomes.
    This project collects data on behaviors and clinical outcomes from 
a probability sample of HIV-infected adults receiving care in the U.S. 
Collection of data from interviews with HIV-infected patients provides 
information on patient demographics, and the current levels of 
behaviors that may facilitate HIV transmission: Sexual and drug use 
behaviors; patients' access to, use of and barriers to receiving HIV-
related secondary prevention services; utilization of HIV-related 
medical services; and adherence to drug regimens. Collection of data 
from patient medical records provides information on: Demographics and 
insurance status; the prevalence and incidence of AIDS-defining 
opportunistic illnesses and co-morbidities related to HIV disease; the 
receipt of prophylactic and antiretroviral medications; and whether 
patients are receiving screening and treatment according to Public 
Health Service guidelines. No other Federal agency collects national 
population-based behavioral and clinical information from HIV-infected 
adults in care. The data are expected to have significant implications 
for policy, program development, and resource allocation at the state/
local and national levels.
    The Centers for Disease Control and Prevention requests approval 
for a 3-year extension with change for the previously approved Medical 
Monitoring Project (MMP) 0920-0740 exp. 5/31/2012). Data will be 
collected through in-person and telephone-administered, computer-
assisted interviews conducted by trained interviewers in 23 Reporting 
Areas (16 states, Puerto Rico and 6 separately funded cities), and 
through medical record abstraction by trained abstractors. The methods 
for the project have been updated to include telephone interviews as an 
interviewing option. Otherwise, the project activities and methods will 
remain the same as those

[[Page 17064]]

used in the previously approved data collection period.
    A standard interview will be conducted with approximately 96% of 
patients, and will take 45 minutes. A short interview will be conducted 
with patients who are too ill to complete the standard interview or 
when the interview must be translated. The short interview, which will 
be conducted with approximately 4% of patients, will take approximately 
20 minutes.
    Medical record abstractions will be completed for on all eligible 
participants. Minimal data on all sampled patients will be extracted 
from an existing HIV case surveillance database, the national HIV/AIDS 
Reporting System [HARS]. These data will be used for quality control 
(to ensure patients were not sampled for participation in MMP more than 
once), to assess nonresponse bias, to prospectively monitor 
respondents' care utilization and treatment, and to make inference to 
the population of persons living with HIV in the United States.
    The interview and minimum data set data collection instruments have 
been revised based on experience in previous data collection cycles, 
but these changes will not affect the burden per respondent. The 
medical record abstraction forms have not changed. CDC's current goal 
is to interview 80% of 9,400 patients or 7,520, 96% of whom (a total of 
7,219 patients) will complete the standard interview and 4% of whom (a 
total of 301 patients) will complete the short interview. Because the 
number of sampled patients is greater (by 62 patients) than for the 
previously approved information collection, the total burden (in hours) 
will increase by 37 hours, from 8,500 to 8,537.
    Participation of respondents is voluntary and there is no cost to 
the respondents other than their time.
    The estimated annualized burden hours are 8,537.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Sampled, Eligible HIV-Infected          Standard interview......           7,219               1           45/60
 Patients.
Sampled, Eligible HIV-Infected          Short interview.........             301               1           20/60
 Patients Unable to Complete the
 Standard Interview.
Facility office staff pulling medical   ........................           7,520               1            3/60
 records.
Facility office staff providing         ........................             936               1               2
 Estimated Patient Loads.
Facility office staff providing         ........................           1,030               1           30/60
 patient lists.
Facility office staff approaching       ........................           3,120               1            5/60
 participants for enrollment.
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    Dated: March 19, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office of the Associate 
Director for Science (OADS), Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2012-7028 Filed 3-22-12; 8:45 am]
BILLING CODE 4163-18-P