[Federal Register Volume 77, Number 163 (Wednesday, August 22, 2012)]
[Notices]
[Pages 50696-50697]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-20619]



[[Page 50696]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-12-12QU]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-7570 
and send comments to Kimberly S. Lane, CDC Reports Clearance Officer, 
1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an email to 
[email protected].
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Impact Evaluation of CDC's Colorectal Cancer Control Program 
(CRCCP)--New--National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Colorectal cancer (CRC) is the second leading cause of cancer 
deaths in the U.S., however, screening can effectively reduce CRC 
incidence and mortality. CDC's Colorectal Cancer Control Program 
(CRCCP) was established to increase population-level screening rates to 
80 percent. Currently, 25 states and four tribal organizations receive 
CDC funds. The CRCCP is the first cancer prevention and control program 
funded by CDC emphasizing both the direct provision of screening 
services and broader screening promotion. CRCCP grantees are required 
to establish evidence-based colorectal cancer screening delivery 
programs for persons 50-64 years of age, focusing on asymptomatic 
persons at average risk for CRC with low incomes and inadequate or no 
health insurance coverage for CRC screening. Approximately 33 percent 
of each grantee award may be used to fund the provision of screening 
and diagnostic tests. Additional program activities such as patient 
recruitment, patient navigation, provider education, quality assurance, 
and data management are also supported under this component of the 
program.
    The CRCCP offers a unique and important opportunity to evaluate the 
efficacy of this new public health model. CDC plans to conduct an 
impact evaluation to determine whether CRCCP program activities 
increase state-level colorectal cancer screening rates and other 
proximal outcomes. The impact evaluation will use a quasi-experimental, 
control group design with pre- and post-tests involving a total of six 
states: Three CRCCP grantee states (Alabama, Nebraska, and Washington) 
represent the intervention programs and three non-CRCCP states 
(Tennessee, Oklahoma, and Wisconsin) represent the control states.
    CDC plans to complete two cycles of information collection over a 
three-year period. The first information collection will be initiated 
in 2012 and the second information collection will be initiated in 
2014. Three types of information will be collected at each time, 
including: (1) A general population survey administered by telephone 
with a state-based, representative, cross-sectional, random sample of 
adults aged 50-75 (population survey); (2) a mail-back, written, survey 
of a state-based, representative sample of primary care providers 
(provider survey); and (3) qualitative case studies of program 
implementation (case studies) based on interviews with Colorectal 
Control Program staff, program evaluators, and state and local partners 
in both grantee and non-grantee states.
    The general population survey includes questions related to 
knowledge of and attitudes toward colorectal cancer, history of 
colorectal cancer screening and intentions for future screening, and 
barriers to screening. The estimated burden per response is 23 minutes. 
The provider survey of primary care physicians includes questions 
related to knowledge of colorectal cancer screening guidelines and 
screening quality, office systems that support screening, and patterns 
of referrals to screening. The estimated burden per response is 12 
minutes. For the case studies, interview guides will be used to conduct 
personal interviews with program staff and stakeholder to gather 
detailed information about colorectal cancer screening provision and 
promotion efforts. The estimated burden for each interview is one hour, 
although some interviews may be longer. Evaluation staff will also 
collect information through document review and field observation.
    The information to be collected will be used to assess the impact 
of the CRCCP in improving proximal outcomes (e.g., provider knowledge, 
population attitudes) and in increasing population-level CRC screening 
rates. Results of the evaluation will be used to improve program 
performance, plan future public health programs, and improve 
efficiencies. OMB approval is requested for three years. The total 
estimated annualized burden hours are 2,393. There are no costs to 
respondents other than their time.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                             Number of       Number of      burden per     Total burden
               Type of respondent                               Form name                   respondents    responses per   response  (in      (in hr)
                                                                                                            respondent          hr)
--------------------------------------------------------------------------------------------------------------------------------------------------------
General Population.............................  Screener for the Colorectal Cancer                9,600               1            5/60             800
                                                  Population Survey.
General Population ages 50-75..................  Colorectal Cancer Population Survey....           3,200               1           23/60           1,227
Eligible Primary Care Providers................  Colorectal Cancer Screening Practices:            1,600               1           12/60             320
                                                  Survey of Primary Care Providers.
CRCCP Grantee Program Staff....................  Interview Guide: Program Staff for                   10               1             1.5              15
                                                  Grantee Program.

[[Page 50697]]

 
CRCCP Grantee Evaluators.......................  Interview Guide: Program Evaluator for                2               1               1               2
                                                  Grantee Program.
Non-Grantee Program Staff......................  Interview Guide: Program Staff for                   10               1             1.5              15
                                                  Nongrantee Program.
Non-Grantee Evaluator..........................  Interview Guide: Program Evaluator for                2               1               1               2
                                                  Nongrantee Program.
CRCCP State and Local Sector Partners..........  Interview Guide: Grantee Partner for                  4               1               1               4
                                                  Grantee Program.
Non-grantee State and Local Partners...........  Interview Guide: Nongrantee Partner....               4               1               1               4
CRCCP Private Sector Partners..................  Interview Guide: Grantee Partner for                  4               1               1               4
                                                  Grantee Program.
Non-grantee Private Sector Partners............  Interview Guide: Nongrantee Partner....               4               1               1               4
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............           2,393
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    Dated: August 16, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI), Office of the Associate 
Director for Science (OADS), Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2012-20619 Filed 8-21-12; 8:45 am]
BILLING CODE 4163-18-P