[Federal Register Volume 84, Number 129 (Friday, July 5, 2019)]
[Notices]
[Pages 32179-32180]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-14298]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-19MM]


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 Study on Disparities in Distress Screening 
among Lung and Ovarian Cancer 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 March 6, 2019 to obtain comments from the public and affected 
agencies. CDC did not receive comments related to the previous notice. 
This notice serves to allow an additional 30 days for public and 
affected agency comments.
    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 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)

[[Page 32180]]

395-5806. Provide written comments within 30 days of notice 
publication.

Proposed Project

    Study on Disparities in Distress Screening among Lung and Ovarian 
Cancer--New--National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP) Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Within the cancer treatment community, interest in the psychosocial 
impacts of cancer diagnosis and treatment is increasing. These 
psychosocial impacts are wide ranging and include not only anxiety 
related to the illness and treatment side effects such as pain, fatigue 
and cognition, but also stress related to nonmedical issues such as 
family relationships, financial hardship, social stressors (e.g. 
transportation), and stigmatization. There is growing evidence that 
addressing the psychosocial stresses of cancer survivors increases both 
their longevity and quality of life.
    The 2016 Institute of Medicine (currently, National Academies of 
Sciences, Engineering, and Medicine) ovarian cancer report, funded by 
CDC, calls for increased study of the psychosocial needs of ovarian 
cancer survivors, recognizing the high rates of depression, anxiety, 
and distress. Up to 60% of lung cancer survivors also experience high 
levels of distress. Both ovarian and lung cancer patients have 
relatively low five-year survival rates (45% and 17%, respectively). 
Therefore, CDC believes that it is imperative to develop a greater 
understanding about the types of psychosocial services they receive 
during their course of treatment and follow-up care.
    CDC proposes a new information collection to examine the extent to 
which disparities exist in distress screening and follow-up among 
cancer treatment facilities and programs across the country. The study 
will include 50 healthcare facilities. From these facilities, we will 
request existing electronic health records (EHR) of 2,000 lung and 
ovarian cancer survivors. Data elements collected will include patient 
demographic information, cancer diagnosis and treatment, experience 
with distress screening and follow-up care, and medical service 
utilization. Patient names, addresses, birth dates and Social Security 
Numbers will not be collected.
    Staff from twelve of the 50 participating healthcare facilities 
will be invited to participate in an interview and focus group to 
provide contextual understanding about facilitators and barriers to 
distress screening and follow-up processes. This is a one-time data 
collection.
    Results of this study will provide CDC's National Comprehensive 
Cancer Control Program (NCCCP) with information to assist with the 
development of information, resources, technical assistance, and future 
evidence-based interventions to improve the quality of life of lung and 
ovarian cancer survivors. Summative findings will be used to evaluate 
the need to help with policy, systems, or environmental changes that 
may enhance the landscape of quality of life services for cancer 
survivors in communities at large. OMB approval is requested for one 
year. The total estimated annualized burden hours are 512.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondents                  Instrument           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Quantitative:
    Healthcare Professionals (POC)....  Survey..................              50               1           20/60
    IT Staff..........................  EMR data................              50               1             7.5
Qualitative:
    Healthcare Professionals..........  Key Informant Interview.              12               1               1
                                        Focus Groups............              72               1             1.5
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-14298 Filed 7-3-19; 8:45 am]
 BILLING CODE 4163-18-P