[Federal Register Volume 86, Number 47 (Friday, March 12, 2021)]
[Notices]
[Pages 14119-14120]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-05120]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-2021-0740; Docket No. CDC-2021-0028]


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 effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled Medical Monitoring Project (MMP). 
The purpose of this data collection is to describe the health-related 
behaviors, experiences and needs of adults diagnosed with HIV in the 
United States. Data will be used to guide national and local HIV-
related service organization and delivery, and monitor receipt of HIV 
treatment and prevention services and clinical outcomes.

DATES: CDC must receive written comments on or before May 11, 2021.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0028 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, 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. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments 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 Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7118; 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 the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Medical Monitoring Project (MMP) (OMB Control No. 0920-0740, Exp. 
6/30/2021)--Revision--National Center for HIV/AIDS, Viral Hepatitis, 
STD, and TB Prevention (NCHHSTP), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), Division of 
HIV/AIDS Prevention (DHAP) requests a revision of the currently 
approved Information Collection Request: ``Medical Monitoring Project'' 
which expires June 30, 2021. This data collection addresses the need 
for national estimates of access to, and utilization of HIV-related 
medical care and services, the quality of HIV-related ambulatory care, 
and HIV-related behaviors and clinical outcomes.
    For the proposed project, the same data collection methods will be 
used as for the currently approved project. Data would be collected 
from a probability sample of HIV-diagnosed adults in the U.S. who 
consent to an interview and abstraction of their medical records. As 
for the currently approved project, deidentified information would also 
be extracted from HIV case surveillance records for a dataset (referred 
to as the minimum dataset), which is used to assess non-response bias, 
for quality control, to improve the ability of MMP to monitor ongoing 
care and treatment of HIV-infected persons, and to make inferences from 
the MMP sample to HIV-diagnosed persons nationally. No other Federal 
agency collects such nationally representative population-based 
information from HIV-diagnosed adults. The data are expected to have 
significant implications for policy, program development, and resource 
allocation at the state/local and national levels.
    The changes proposed in this request update the data collection 
system to meet prevailing information needs and enhance the value of 
MMP data, while remaining within the scope of the currently approved 
project purpose. The result is a 10% reduction in burden, or a 
reduction of 647 total burden hours annually. The reduction in burden 
was a result of revisions to the interview questionnaire that were made 
to improve coherence, boost the efficiency of the data collection, and 
increase the relevance and value of the information, which decreased 
the time of interview from 45 minutes to 40 minutes.
    Changes made, that did not affect the burden, listed below:
     Non-substantive changes have been made to the respondent 
consent form to decrease the reading comprehension level and make the 
form more visual.
     Nine data elements were removed from, and three data 
elements were added to the Minimum Dataset. Because these data elements 
are extracted from the HIV surveillance system from which they are 
sampled, these changes do not affect the burden of the project.

[[Page 14120]]

     Seven data elements were added to the medical record 
abstraction data elements to collect information on SARS-CoV-2 (COVID-
19) testing. Because the medical records are abstracted by MMP staff, 
these changes do not affect the burden of the project.
    This proposed data collection would supplement the National HIV 
Surveillance System (NHSS, OMB Control No. 0920-0573, Exp. 11/30/2022) 
in 23 selected state and local health departments, which collect 
information on persons diagnosed with, living with, and dying from HIV 
infection and AIDS. The participation of respondents is voluntary. 
There is no cost to the respondents other than their time. Through 
their participation, respondents will help to improve programs to 
prevent HIV infection as well as services for those who already have 
HIV. Total estimated annual burden requested is 5,707 hours.

                                        Estimated Annualized Burden Hours
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                                                                     Number of
      Type of respondent            Form name        Number of     responses per   Average hours  Total response
                                                    respondents     respondent     per response   burden (hours)
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Sampled, Eligible HIV-Infected  Interview                  7,760               1           45/60           5,173
 Persons.                        Questionnaire
                                 (Att. 5a).
Facility office staff looking   Look up contact            1,940               1            2/60              65
 up contact information.         information.
Facility office staff           Approach persons             970               1            5/60              81
 approaching sampled persons     for enrollment.
 for enrollment.
Facility office staff pulling   Pull medical               7,760               1            3/60             388
 medical records.                records.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           5,707
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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. 2021-05120 Filed 3-11-21; 8:45 am]
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