[Federal Register Volume 77, Number 237 (Monday, December 10, 2012)]
[Notices]
[Pages 73469-73470]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29722]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-13-0469]


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 or 
send comments to Kimberly Lane, 1600 Clifton Road, MS D-74, 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

    National Program of Cancer Registries Cancer Surveillance System 
(OMB No. 0920-0469, exp. 11/30/2012)--Reinstatement--National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    One of every four deaths in the United States is attributable to 
cancer, making it the second leading cause of death among Americans. In 
2009, over 1,500,000 people were diagnosed with invasive cancer and 
650,000 people died of cancer. Living with cancer also affects many 
people. In January 2008, the National Cancer Institute estimated that 
11.9 million Americans were alive with a history of invasive cancer.
    In addition to the personal impact of cancer, the financial burden 
is also substantial. The direct treatment costs of cancer in 2008 have 
been estimated at $93.2 billion, with additional indirect costs of 
$134.9 billion in lost productivity due to illness and premature death.
    In 1992, Congress passed the Cancer Registries Amendment Act, which 
established the National Program of Cancer Registries (NPCR). Through 
the NPCR, CDC provides support for state-based central cancer 
registries (CCR) that collect, manage, and analyze data about cancer 
cases in their jurisdictions. The CCR are responsible for obtaining 
diagnostic and treatment information from a variety of sources and for 
reconciling this information to produce accurate incidence and 
prevalence statistics. Through the NPCR, CDC also provides CCR with 
technical assistance that supports common standards for data definition 
and quality in a core set of data items. The NPCR-funded registries, 
which are located in states, the District of Columbia, and U.S. 
territories, have reported a standardized data set to CDC annually 
through the National Program of Cancer Registries Cancer Surveillance 
System (NPCR CSS)(OMB No. 0920-0469, exp. 11/30/2012). Many registries 
maintain additional data items that are not part of the standard NPCR 
CSS report to CDC.
    The NPCR CSS has allowed CDC to collect, aggregate, evaluate and 
disseminate cancer incidence data at the national and state level. The 
NPCR CSS is the primary source of information for United States Cancer 
Statistics (USCS), which CDC has published annually since 2002. The 
latest USCS report published in 2012 provided cancer statistics for 98% 
of the United States population from all cancer registries whose data 
met national data standards. Prior to the publication of USCS, cancer 
incidence data at the national level were available for only 14% of the 
population of the United States.
    CDC has also used information reported through the NPCR CSS to

[[Page 73470]]

monitor cancer trends over time, describe geographic variation in 
cancer incidence throughout the country, and provide incidence data on 
minority populations and rare cancers. In addition, data on stage at 
diagnosis, type of treatment provided, and vital status allow CDC to 
assess progress in reducing morbidity and mortality from cancer. These 
activities and analyses further support CDC's planning and evaluation 
efforts for state and national cancer control and prevention. Finally, 
datasets compiled through the NPCR CSS have been made available to 
investigators for secondary analysis.
    CDC plans to request OMB approval to reinstate the NPCR CSS 
information collection, with changes. First, the frequency of reporting 
to CDC will be changed from an annual to a semi-annual schedule. The 
additional report will allow CDC to compile preliminary cancer 
incidence estimates in advance of the lengthy process of data 
validation required for each registry's final annual report. Second, 
data definitions for each report will be updated to reflect changes in 
national standards for cancer diagnosis, treatment, and coding. These 
changes will affect the standard reports for all NPCR-funded central 
cancer registries.
    The third set of changes applies to a subset of 10 central cancer 
registries. These CCR received ARRA funding to develop common standards 
and reporting mechanisms for enhanced description of cases of breast 
cancer, colorectal cancer, and chronic myelogenous leukemia (CML). The 
enhanced data items will support more in-depth analysis of treatment 
strategies and patient outcomes than is currently possible with the 
standard NPCR CSS information collection. The 10 registries that 
participated in the enhancement process will begin reporting the 
additional data items to CDC in 2013 as part of their routine 
submission. CDC plans to make de-identified data available for 
comparative effectiveness research (CER).
    OMB approval will be requested for three years. Respondents will be 
NPCR-supported central cancer registries in U.S. states, territories, 
and the District of Columbia. Information will be reported 
electronically to CDC twice per year. The first report will consist of 
a single-year file for data that includes diagnoses 12 months past the 
close of the diagnosis year. The second report will consist of a 
cumulative file containing incidence data from the first diagnosis year 
for which the cancer registry collected data with the assistance of 
NPCR funds (e.g., 1995) through 24 months past the close of the 
diagnosis year (e.g., 2010 data submitted in 2012). The estimated 
burden per response is two hours. Because cancer incidence data are 
already collected, aggregated and used for analyses at the state level, 
the additional burden of reporting the information to CDC is small and 
the number of data items in the report does not affect the estimated 
burden per response. There are no costs to respondents except their 
time.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Central Cancer Registries in    Standard NPCR                 38               2               2             152
 States, Territories, and the    CSS Report.
 District of Columbia.
                                Enhanced NPCR                 10               2               2              40
                                 CSS Report.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             192
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    Dated: December 4, 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. 2012-29722 Filed 12-7-12; 8:45 am]
BILLING CODE 4163-18-P