[Federal Register Volume 79, Number 71 (Monday, April 14, 2014)]
[Notices]
[Pages 20885-20886]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-08300]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-14-14DF]


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 
(404) 639-7570 or send an email to [email protected]. Send written comments 
to CDC Desk Officer, Office of Management and Budget, Washington, DC 
20503 or by fax to (202) 395-5806. Written comments should be received 
within 30 days of this notice.

Proposed Project

    Sexually Transmitted Infection Services at U.S. Colleges and 
Universities--New--National Center for HIV/AIDS, Viral Hepatitis, STD 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    Approximately 43% of the over 30 million 18-24 year olds in the 
United States are currently enrolled in college or graduate school. 
These institutions comprise a mix of 2-year and 4-year colleges, public 
and private institutions, technical schools, and community colleges. In 
the U.S. young adulthood is the peak age group for many risk behaviors 
including unprotected sex. College students, who are typically at the 
age of most risk for acquiring a sexually transmitted infection (STI), 
may face challenges when seeking sexual and reproductive health care on 
campus.
    The last national study exploring the availability of STI services 
in U.S. colleges and universities (2- and 4-year) was conducted in 2001 
and found that only 60% (474/736) of schools had a health center. 
Health centers were more common among larger schools (greater than 
4,000 students) that were privately funded and 4-year universities with

[[Page 20886]]

housing. Of the health centers, 66% provided STI services, 55% provided 
obstetrical and gynecologic care, and 54% provided contraceptive 
services.
    National Survey of Family Growth (NSFG) data estimates that the 
percentage of 18- to 22-year-olds ever tested for HIV is 34.2%; and 
only 18% reported being tested in the past year. Although risk factors 
for HIV/STI transmission (e.g., sex with multiple partners, unprotected 
sex, and using drugs or alcohol during sexual activity) can be 
particularly evident among college students in general, students 
enrolled at colleges with significant minority enrollment (SMEs) may 
face additional challenges such as greater risk of transmission during 
new sexual encounters due to sexual partner networks and limited access 
to quality healthcare and prevention education.
    Given this information, there is a great deal of opportunity for 
expanding access to care, especially among schools which are unable to 
offer student health services on campus. Many schools, including both 
2- and 4-year schools, may find it more difficult to offer student 
health services because of constrained budgets or geographical 
location. Depending on location, some may serve a disproportionate 
number of students from low socio-economic backgrounds. This means in 
general, their students are more likely to be un- or underinsured or to 
be Medicaid eligible.
    CDC is requesting a one year OMB approval for this information 
collection. The purposes of this data collection are to (1) provide an 
estimate of the proportion of colleges not offering health services on 
campus, (2) explore the reasons as to why health services are offered, 
and (3) describe the current extent of U.S. colleges and universities 
provisions of health services in regards to HIV/STI education, 
prevention and treatment.
    The information will be used to provide technical assistance to 
colleges and universities interested in alternative solutions for 
providing health care services to their students.
    The list of eligible respondents comes from the Integrated 
Postsecondary Education Data System (IPEDS), using 2011 enrollment 
data. Applying our criteria to include only active, 2- or 4-year, 
degree granting, accredited public or not for profit private schools, 
that enrolled at least 500 undergraduates and/or graduate students 
located in the 50 states and the District of Columbia our total 
population was 2,753 schools. Using stratified sampling, we sampled 885 
universities and colleges to survey on their provision of health 
services as they relate to HIV & STI education, treatment and 
prevention.
    CDC investigators will email an introductory letter inviting the 
contact person at each school to participate in the survey, noting that 
the questionnaire should be completed by the person with the most 
knowledge and access to information about health services on campus. 
For example, these persons would include Health services Directors or 
Campus Administrators. The estimated burden per respondent is 
approximately 45 minutes.
    The questionnaire will collect information regarding various 
aspects of health services provided by the school. These include 
requirements for student health insurance, preventive services, testing 
and treatment of HIV and STDs, partner management, and accessibility of 
health services by students. After signing and agreeing to terms 
outlined in the letter, confirming participation in the survey, another 
email with a link to the self-administered electronic questionnaire 
(via SurveyMonkey) will be sent. Schools will have three weeks to 
respond to the survey. Investigators will send a reminder at 1.5 weeks, 
3 days prior to closeout, and then last day of data collection period. 
Once all the surveys are returned, two researchers will review and 
contact schools about inconsistent or invalid responses, and make 
corrections as needed. Basic school characteristics will be gathered 
from the IPEDs database on each school (e.g. institution type, funding 
type, size of enrollments, region, etc.).
    The total estimated time frame for the project, including 
administration of the survey, collection period, data analysis and 
writing of findings is about 6-9 months. The results and findings will 
be written for publication in a peer-reviewed journal and an 
aggregated, summary report will be shared with all participating 
schools. This data collection effort will also allow investigators to 
provide technical assistance to colleges and universities interested in 
alternative solutions for providing health care services to their 
students. Participation is voluntary and there are no costs to 
respondents other than their time. The total annualized response burden 
is estimated at 664 hours.

                                        Estimated Annualized Burden Hours
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                                                                                   Number of     Avg. burden per
         Type of respondents                 Form name            Number of      responses per     response (in
                                                                 respondents       respondent         hrs.)
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Health Services Personnel...........  College Survey.........             885                1            45/60
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LeRoy 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. 2014-08300 Filed 4-11-14; 8:45 am]
BILLING CODE 4163-18-P