[Federal Register Volume 78, Number 221 (Friday, November 15, 2013)]
[Notices]
[Pages 68846-68848]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27372]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-14-14CJ]


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 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

    Racial and Ethnic Approaches to Community Health (REACH) 
Demonstration Projects: Evaluation Study--New--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    In the United States, chronic conditions such as heart disease, 
obesity and diabetes are among the leading causes of death and 
disability. The devastating effects of these conditions can be reduced 
by adopting healthy behaviors such as eating nutritious foods, being 
physically active and avoiding tobacco use.
    CDC has supported a variety of programs aimed at promoting 
evidenced-based strategies to improve public health. However, despite 
indications of progress in overall population health, disparities in 
health status persist for many minority groups.

[[Page 68847]]

    In fiscal year 2012, CDC received Affordable Care Act (ACA) funding 
to support Racial and Ethnic Approaches to Community Health (REACH) 
demonstration projects in two sites (Boston, Massachusetts, and Los 
Angeles, California). The sites are implementing culturally-tailored 
policy, systems, and environmental (PSE) strategies aimed at reducing 
rates of obesity and hypertension, and promoting health equity.
    CDC plans to assess the effectiveness of the REACH demonstration 
projects through the ``REACH Demonstration Projects: Evaluation Study 
(RES).'' The RES is designed to examine the health impact of PSE 
strategies for promoting health. As required by the ACA, the evaluation 
will specifically assess changes in weight, proper nutrition, physical 
activity, tobacco use prevalence, and emotional well-being. Information 
collected for the RES will consist of targeted surveillance data, 
biometric measures, and information about health and life style 
decision making at the REACH demonstration program sites and one non-
intervention comparison site (Atlanta, Georgia). Information will also 
be collected about key cultural and contextual factors that affect 
health and lifestyle decision-making. This information will provide 
insights about the barriers and facilitators that affect the adoption 
of healthy behaviors.
    The specific aims of the RES include the following: (1) Examine 
trends of risk factors for chronic disease using behavioral and 
biometric indicators. (2) Examine the reduction in health disparities 
within targeted populations for obesity and hypertension. (3) Identify 
factors that contribute to the decision-making process for individual 
change in health-related behavior and lifestyle change through the 
REACH health and lifestyle decision-making domain (HD).
    The RES uses a cross-sectional design and will be conducted over a 
period of two years, collecting survey and biometric data in two cycles 
of data collection approximately 12 to 15 months apart. Respondents 
will be representative samples of adults who are 18 years of age or 
older, and youths between the ages of 9 and 17 years of age, who reside 
in the two REACH Demonstration sites or the comparison site. An 
address-based sampling (ABS) approach will be used to select the sample 
for each site. The sampling design will oversample households 
containing Black and Hispanic persons (targeted populations) and 
youths. For each REACH demonstration site, this will result in a sample 
of up to 1,800 adults and 400 youths for each cycle of data collection. 
The sample for the comparison site will consist of 2,400 adults and 800 
youth for each cycle of data collection.
    The information collection plan and instruments for the RES are 
modeled on the instruments and procedures developed by CDC for 
Community Transformation Grant (CTG) awardees (Targeted Surveillance 
and Biometric Studies for Enhanced Evaluation of CTGs, Office of 
Management and Budget (OMB) No. 0920-0977, exp. 8/31/2016). For the 
RES, a Health and Lifestyle Decision-Making domain has been added to 
the Adult Targeted Surveillance Survey (ATSS) to assess individual 
change in health-related behavior and lifestyle. The Health and 
Lifestyle Decision-Making domain was developed by an expert panel that 
convened to conceptualize and operationalize the survey items based on 
the literature and existing instruments.
    The RES will enable CDC to compare data across the three sites at 
two time periods and to use these data for comparisons with other 
sources of information, such as state-based behavioral risk factor 
surveys and the National Health and Nutrition Examination Survey 
(NHANES, OMB No. 0920-0237, exp. 10/31/2013). In addition, the added 
REACH Demonstration health and lifestyle decision-making domain will 
identify key contextual factors, such as perceived discrimination, 
perceived neighborhood safety, mistrust, and other concerns or issues 
that could potentially serve as mediating and moderating variables that 
impact health and lifestyle decisions.
    The study will use computer-assisted personal interviewing 
technology. The names of respondents will not be included in any data 
sets or reports prepared from this project. Office of Management and 
Budget approval is requested for two years. Participation is voluntary, 
and there are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs)        (in hrs)
----------------------------------------------------------------------------------------------------------------
Adults >= 18 years of age in    Adult Telephone/           8,000               1            3/60             400
 REACH Demonstration Program     In-person                 6,000               1           45/60           4,500
 Sites or the Comparison Site.   Recruitment
                                 Screener.
                                Adult Targeted
                                 Surveillance
                                 Survey with HD
                                 Module.
 
                                Adult Biometric            2,400               1           30/60           1,200
                                 Measures.
Youth ages 9-17 years in REACH  Youth Targeted             1,600               1           20/60             533
 Demonstration Program Sites     Surveillance              1,600               1           20/60             533
 or the Comparison Site.         Survey.
Youth Biometric Measures......
 
ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½
    Total.....................  ................  ..............  ..............  ..............           7,166
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[[Page 68848]]

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. 2013-27372 Filed 11-14-13; 8:45 am]
BILLING CODE 4163-18-P