[Federal Register Volume 78, Number 172 (Thursday, September 5, 2013)]
[Notices]
[Pages 54653-54655]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-21604]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-13-13AHL]


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 Leroy Richardson, 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

[[Page 54654]]

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

    Colorectal Cancer Screening Survey--New--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    Unhealthy behaviors contribute to a significant public health gap 
in terms of eliminating preventable deaths. This gap disproportionately 
affects low-income, minority, uninsured or under-insured populations 
and stems in part from a failure to receive basic clinical preventative 
services such as cancer screening, as well as risk factors such as 
obesity, physical inactivity, excessive alcohol consumption and tobacco 
use. The challenge for public health is to identify the social 
interventions or mechanisms that might be effective in reaching members 
of the public who do not respond to traditional public health messages 
and interventions designed to support healthy behaviors. An improved 
understanding of the determinants of individual decision-making and 
behavior is needed to identify opportunities for strengthening public 
health interventions.
    The Centers for Disease Control (CDC) plans to conduct a study to 
improve understanding of the reasons that individuals do not get 
screened for colorectal cancer (CRC). CRC is the second leading cause 
of cancer related death in the U.S., and screening for CRC is 
recommended for adults starting at age 50. Screening for CRC can 
prevent deaths by removing pre-cancerous polyps and finding cancer 
early when it is most treatable. However, as of 2008, only 62.9% of 
adults aged 50-75 years were screened as recommended.
    CDC will request OMB approval to administer a survey to collect 
information on actual screening behavior, subjective and objective 
colon cancer risk perceptions, and barriers to screening. The survey is 
also designed to measure preferences for different characteristics of 
CRC screening tests. Information collection will involve a Web-based 
survey based on a conjoint analysis approach (also known as discrete 
choice experiment). The conjoint format presents respondents with 
choices between hypothetical CRC tests that vary along key attributes. 
The six attributes that will be assessed for CRC screening tests are: 
(1) What the test can find, (2) whether the test can remove cancer and 
polyps, (3) preparation before the test, (4) discomfort and activity 
limitations during and after the test, (5) how often an individual can 
take the test, and 6) cost of the test. Results will be analyzed to 
quantify the rate at which respondents are willing to trade-off one 
attribute for another and to rank the importance of attributes and 
changes in attribute levels.
    The survey will also collect information to measure the impact of 
selected educational materials on opinions about CRC screening tests. 
Each respondent will be randomly assigned to one of three information 
treatments: (1) A control group that receives no additional information 
about CRC screening, (2) a treatment group that receives a ``No 
Excuses'' educational flyer designed to dispel many common reasons for 
not getting a colonoscopy, or (3) a treatment group that receives a 
two-page Fact Sheet about CRC and screening options. The flyer and fact 
sheet were developed in conjunction with CDC's Screen for Life program.
    Information will be collected from a sample of 2,000 adults aged 
52-75 through a Web-based survey administered by GfK Knowledge Networks 
(KN). The estimated burden per response is 20 minutes. Respondents will 
be randomly selected from the KN KnowledgePanel[supreg]. A pre-test of 
study procedures will be conducted prior to initiating the main study.
    CDC is authorized to conduct this information collection under the 
Public Health Service Act (42 U.S.C. 241) Section 301. Results will be 
used to help CDC better understand public perceptions of screening 
tests and to improve rates of CRC screening among individuals at risk.
    OMB approval is requested for one year. Participation is voluntary 
and there are no costs to respondents other than their time.

                                                            Estimated Annualized Burden Hours
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                                                                                                     Number of        Average burden
             Type of respondents                         Form name                Number of        responses per    per response  (in  Total burden  (in
                                                                                 respondents         respondent            hr)                hr)
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Pre-Test Participants.......................  Email Invitation..............                 43                  1               2/60                  1
                                              Survey of Preferences for                      30  .................              20/60                 10
                                               Colorectal Cancer Screening.
Study Participants..........................  Email Invitation..............              2,680                  1               2/60                 89
                                              Survey of Preferences for                   2,000                  1              20/60                667
                                               Colorectal Cancer Screening.
                                             -----------------------------------------------------------------------------------------------------------
    Total...................................  ..............................  .................  .................  .................                767
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[[Page 54655]]

Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2013-21604 Filed 9-4-13; 8:45 am]
BILLING CODE 4163-18-P