[Federal Register Volume 80, Number 109 (Monday, June 8, 2015)]
[Notices]
[Pages 32383-32385]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13849]


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 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-15-0856; Docket No. CDC-2015-0041]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing efforts to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to take this opportunity to comment on proposed and/or 
continuing information collections, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on the proposed 
revision of the National Quitline Data Warehouse (NQDW) information 
collection. The NQDW is a repository of information about callers who 
have received services from state quitlines and a quarterly summary of 
services provided by each quitline.

DATES: Written comments must be received on or before August 7, 2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0041 by any of the following methods:
    Federal eRulemaking Portal: Regulation.gov. Follow the instructions 
for submitting comments.
    Mail: Leroy A. Richardson, Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note: All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the 
address listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    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; (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; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services 
to provide information. Burden means the total time, effort, or 
financial resources expended by persons to generate, maintain, retain, 
disclose or provide information to or for a Federal agency. This 
includes the time needed to review instructions; to develop, acquire, 
install and utilize technology and systems for the purpose of 
collecting, validating and verifying information, processing and 
maintaining information, and disclosing and providing information; to 
train personnel and to be able to respond to a collection of 
information, to search data sources, to complete and review the 
collection of information; and to transmit or otherwise disclose the 
information.

Proposed Project

    National Quitline Data Warehouse (NQDW) (OMB No. 0920-0856, exp. 
10/31/2015)--Revision--National Center for Chronic Disease and Health 
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Despite the high level of public knowledge about the adverse 
effects of smoking, tobacco use remains the leading preventable cause 
of disease and death in the United States. Smoking results in 
approximately 480,000 deaths annually (USDHHS, 2014). This total 
includes approximately 41,000 annual deaths in nonsmoking U.S. adults 
caused by secondhand smoke exposure (USDHHS, 2014). Although the 
prevalence of current smoking among adults has been decreasing, 
substantial disparities in smoking prevalence continue to exist among 
individuals of low socioeconomic status, persons with mental health and 
substance abuse conditions, and certain racial/ethnic populations, 
among other groups.
    Quitlines are telephone-based tobacco cessation services that help 
tobacco users quit through a variety of services,

[[Page 32384]]

including counseling, medications, information and self-help materials 
(NAQC, 2009). Quitlines are effective, population-based interventions 
that increase successful quitting. Tobacco cessation quitlines overcome 
many of the barriers to in-person tobacco cessation individual and 
group counseling because they are free, available at the caller's 
convenience, and do not require transportation or child care. They are 
also efficient and cost-effective, in part because they offer multiple 
services centrally that often are unavailable locally. CDC has directly 
supported state quitlines since 2004 when CDC and the National Cancer 
Institute (NCI) created the National Network of Tobacco Cessation 
Quitlines Initiative to provide greater access to counseling for 
tobacco cessation to U.S. tobacco users. Also, as part of the 
Initiative, NCI established a toll-free national portal number at 1-
800-QUIT-NOW. This portal number automatically transfers callers to 
their state quitline.
    Quitlines now exist in all U.S. states, the District of Columbia, 
Guam, and Puerto Rico. CDC currently supports the maintenance and 
enhancement of state quitlines as part of the National Tobacco Control 
Program, a cooperative agreement program with the states, and 
additional funding designated for ensuring quitline capacity. One of 
CDC's current goals is to expand quitline capacity so that all callers 
to the quitline during a federal media campaign are offered at least 
one coaching call, either immediately upon calling or by being re-
contacted within two to three days. A secondary purpose is to continue 
to expand the capacity of state tobacco control programs to implement 
evidence-based cessation interventions and to provide interventions 
that are culturally and linguistically appropriate for populations that 
experience disparities.
    In 2010, with funding provided by the American Reinvestment and 
Recovery Act (ARRA) of 2009, CDC's Office on Smoking and Health (OSH) 
obtained approval to collect information through the National Quitline 
Data Warehouse (NQDW; OMB No. 0920-0856). The NQDW information 
collection continued from 2012-2014 using funds from the Patient 
Protection and Affordable Care Act (ACA) and CDC's Prevention and 
Public Health Fund (PPHF). During its five years in existence, the NQDW 
has collected a quarterly services summary report from 50 states, the 
District of Columbia, Guam and Puerto Rico. NQDW has also collected de-
identified, individual-level data about tobacco users who have received 
services from state quitlines including caller demographics, tobacco 
use behaviors of callers, reasons for calling the quitline, how callers 
reported hearing about the quitline, what services callers have 
received from the quitline, and whether or not callers were able to 
make successful quit attempts after using state quitline programs.
    Information collected by the NQDW has demonstrated an increase in 
the demand for quitline services over time. Unfortunately, quitlines 
remain under-funded and under-promoted. According to CDC's Best 
Practices for Comprehensive Tobacco Control Programs, currently about 1 
percent of tobacco users receive services from state quitlines each 
year, however approximately 6 to 8 percent of tobacco users could 
potentially be reached by state quitlines if quitlines were 
sufficiently funded and promoted.
    CDC uses the information collected by the NQDW for ongoing 
monitoring and evaluation related to state quitlines. The NQDW collects 
important information used to monitor and evaluate the impact of 
funding for tobacco control programs and state quitlines as well as 
other tobacco programs, policies and interventions. In addition, data 
collected by the NQDW serves an important role in helping CDC assess 
the effectiveness of the Tips From Former Smokers media campaign. The 
``Tips'' campaign was initiated in 2012 to increase public awareness of 
the immediate health damage caused by smoking and to encourage adult 
smokers to quit (www.cdc.gov/tips).
    CDC plans to request OMB approval to continue the NQDW information 
collection for three years. All 50 states, the District of Columbia, 
Guam, and Puerto Rico will continue to participate. Changes to be 
implemented include:
    (1) The Asian Smokers' Quitline (ASQ) will participate in the NQDW. 
The ASQ will be administered and operated by a single, national 
quitline service provider. This change will allow CDC to assess state 
quitline efforts to expand quitline capacity and service provision to 
the tobacco users who speak Asian languages. The total number of 
programs reporting through the NQDW will increase from 53 to 54.
    (2) Five questions will be added to the NQDW Intake Questionnaire 
concerning pregnancy, insurance status, type of health insurance, 
mental health, and language of service. This information will help CDC 
and the states tailor quitline services to the needs of callers. In 
2014, CDC inquired with states as to whether their state quitlines are 
already collecting information on pregnancy status, insurance status, 
and mental health status and learned that most state quitlines already 
collect this information. However, these questions are not included in 
the current NQDW Intake Questionnaire. Adding these items to the NQDW 
Intake Questionnaire will impose minimal additional burden on states 
but will substantially improve the utility of the NQDW data to identify 
use of state quitlines by key tobacco use populations. Finally, CDC 
proposes to add a question about the language in which quitline 
services are provided. This question would not be a question posed to 
callers, but would be recorded by the quitline service provider.
    (3) In 2012, CDC discontinued data collection for the NQDW Seven-
Month Follow-up Survey. During the three year period of this Revision 
request, the NQDW Seven-Month Follow-up Questionnaire will be 
collected, but only for callers who receive services through the Asian 
Smokers' Quitline. Should the need arise in the future to resume 
collecting seven-month follow-up data from all callers, an additional 
Revision request will be submitted to OMB.
    Participation in the caller intake and follow-up interviews is 
voluntary for quitline callers. The estimated burden is 10 minutes for 
a complete intake call conducted with an individual who calls on their 
own behalf. The estimated burden is one minute for a caller who 
requests information for someone else, as these callers complete only a 
subset of questions on the intake questionnaire. The estimated burden 
per response for the Seven-Month Follow-Up Questionnaire is seven 
minutes.
    As a condition of funding, the 54 cooperative agreement awardees 
are required to submit a quarterly services survey. CDC recognizes that 
awardees incur additional burden for preparing and transmitting summary 
files with their de-identified caller intake and follow-up data. This 
burden is acknowledged in the instructions for transmitting the 
electronic data files. There is a net decrease in burden, primarily due 
to discontinuation of the Seven-Month Follow-Up Questionnaire for the 
majority of callers.
    All information will be submitted to CDC electronically. There are 
no costs to respondents other than their time.

[[Page 32385]]



                                        Estimated Annualized Burden Hours
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                                                                               Number of     Average      Total
                                                                  Number of    responses    burden per   burden
        Type of respondents                   Form name          respondents      per        response      (in
                                                                               respondent   (in hrs.)     hrs.)
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Quitline callers who contact the     NQDW Intake Questionnaire       509,742            1        10/60    84,957
 quitline for help themselves.        (complete).
Caller who contacts the quitline on  NQDW Intake Questionnaire        26,902            1         1/60       448
 behalf of someone else.              (subset).
Quitline caller who received a       NQDW 7-Month Follow-Up              659            1         7/60        77
 quitline service from the Asian      Questionnaire.
 Smokers' quitline.
Tobacco Control Manager or Their     Instructions for                     54            4            1       216
 Designee.                            Submitting NQDW Intake               1            1            1         1
                                      Questionnaire Electronic
                                      Data File to CDC.
                                     Instructions for
                                      Submitting NQDW 7-Month
                                      Follow-up Electronic Data
                                      File to CDC.
                                     NQDW Quitline Services               54            4        20/60        72
                                      Survey.
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    Total..........................  ..........................  ...........  ...........  ...........    85,771
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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. 2015-13849 Filed 6-5-15; 8:45 am]
BILLING CODE 4163-18-P