[Federal Register Volume 84, Number 26 (Thursday, February 7, 2019)]
[Notices]
[Pages 2524-2525]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-01322]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-19-18AAE]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled Barriers and Facilitators to Expanding the
NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women
(NHBS-Trans) to the Office of Management and Budget (OMB) for review
and approval. CDC previously published a ``Proposed Data Collection
Submitted for Public Comment and Recommendations'' notice on May 29,
2018 to obtain comments from the public and affected agencies. The
notice was entitled National HIV Behavioral Surveillance System Among
Transgender Women (NHBS-Trans). CDC did not receive comments related to
the previous notice. The current notice serves to allow an additional
30 days for public and affected agency comments. The project title has
been revised to clarify project goals.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) Minimize the burden of the collection of information on those
who are to respond, including, through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or
[[Page 2525]]
send an email to [email protected]. Direct written comments and/or
suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
Proposed Project
Barriers and Facilitators to Expanding the NHBS to Conduct HIV
Behavioral Surveillance Among Transgender Women (NHBS-Trans)--New--
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
(NCHHSTP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The National HIV Behavioral Surveillance System (NHBS, OMB No.
0920-0770, exp. 5/31/2020) is CDC's ongoing surveillance system to
assess HIV prevalence and factors associated with HIV among populations
at high risk for HIV. NHBS has a 15-year record of successfully
reaching and recruiting hidden populations, with a focus on men who
have sex with men, injection drug users, and heterosexuals at high risk
of HIV infection.
CDC requests OMB approval to conduct a two-year pilot study to
examine the feasibility of extending the NHBS's proven surveillance
framework to include transgender (TG) women, a hidden subpopulation
with a disproportionately high burden of HIV. Information will be
collected in nine geographically diverse U.S. Metropolitan Statistical
Areas (MSAs) with high HIV prevalence: Atlanta, GA, Dallas, TX, Los
Angeles, CA, New Orleans, LA, New York, NY, Philadelphia, PA, San
Francisco, CA, Seattle, WA, and Washington, DC. Together these sites
accounted for over 33% of all persons living with HIV at year end 2014
in large (>500,000 residents) MSAs. All NHBS-Trans sites currently
participate in the NHBS and are familiar with its protocols for
respondent recruitment, information collection, HIV testing, and
referral to services.
The NHBS-Trans pilot study will use customized NHBS instruments,
sampling and recruitment methods to assess barriers to, and best
strategies for, conducting HIV-related bio-behavioral surveys among
transgender women. Information will be collected on HIV risk behaviors,
gaps in services, barriers to service, and other experiences of
transgender women from racial and ethnic minority populations.
Potential participants will be identified through respondent-driven
recruitment methods, also called peer-based recruitment.
During the two-year information collection period, each NHBS-Trans
site will recruit 200 respondents for a computer-assisted personal
interview. The proposed respondents are adult minority transgender
women. After completing the 40-minute interview, each respondent will
be offered a free, rapid HIV test. Respondents will also be asked to
participate in short debriefing interviews about their experiences with
recruiting additional participants. The debriefing interviews will help
CDC understand the reasons why eligible transgender women choose not to
participate in the NHBS-Trans pilot study.
Over the two-year pilot period, the target number of completed
interviews for all sites is 1,800 (200 per site). CDC estimates that
1,980 individuals must be screened in order to identify 1,800
individuals who meet eligibility criteria and consent to participation.
Quantitative analysis of 1,800 interviews will be conducted using
SAS. Findings of the NHBS-Trans pilot study will be used by CDC and
local health department staff to assess the feasibility of using NHBS
infrastructure to monitor the prevalence of HIV among transgender women
of color and to strengthen understanding of the behavioral and
environmental HIV risk factors that contribute to the
disproportionately high prevalence of HIV within this population.
Improved surveillance of transgender women is necessary to help CDC and
health departments identify areas for community-level interventions,
track the progress of communities in implementing change, and evaluate
interventions that seek to reduce HIV risk factors and increase
engagement in HIV prevention and care.
Participation in the NHBS-Trans study is voluntary and there are no
costs to respondents other than their time. The total estimated
annualized burden hours are 713.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hours)
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Transgender Women >18 years old.... Eligibility Screener....... 990 1 5/60
Eligible and consenting NHBS-Trans Interview....... 900 1 40/60
participants.
Peer Recruiters.................... Recruiter Debriefing Form.. 900 1 2/60
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Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-01322 Filed 2-6-19; 8:45 am]
BILLING CODE 4163-18-P