[Federal Register Volume 89, Number 39 (Tuesday, February 27, 2024)]
[Notices]
[Pages 14503-14504]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03884]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-24-24DD; Docket No. CDC-2024-0012]


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.

-----------------------------------------------------------------------

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 information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled Project Confianza to Identify Medical Mistrust Drivers among 
Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men 
(HLMSM). The data collection is designed to identify the root causes of 
medical mistrust and opportunities to implement interventions that can 
make HIV-related services trusted and acceptable for HLMSM to increase 
access to, and utilization of, HIV prevention and care services, as 
well as contribute toward achieving Ending the HIV Epidemic in the U.S. 
(EHE) goals and National HIV Strategic Plan health disparities goals.

DATES: CDC must receive written comments on or before April 29, 2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0012 by either of the following methods:
    [square] Federal eRulemaking Portal: www.regulations.gov. Follow 
the instructions for submitting comments.
    [square] Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov. Please note: Submit all comments through the 
Federal eRulemaking portal (www.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 H21-8, Atlanta, Georgia 30329; Telephone: 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;
    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; and
    5. Assess information collection costs.

Proposed Project

    Project Confianza to Identify Medical Mistrust Drivers among 
Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men 
(HLMSM)--New--National Center for HIV, Viral Hepatitis, STD, and TB 
Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC).

[[Page 14504]]

Background and Brief Description

    Although the HIV diagnosis rate among Hispanic/Latino Americans (H/
L) has decreased in the United States (from 17.6/100,000 in 2014 to 
11.0/100,000 in 2019), H/L continue to be disproportionately affected 
by HIV. H/L account for 18.7% of the US population and in 2019 they 
accounted for 29% of new HIV diagnoses, the majority (85%) of which 
were among H/L gay, bisexual and other men who have sex with men 
(HLMSM). Medical mistrust (MM) is a social determinant of health 
associated with HIV disparities (e.g., low PrEP willingness and 
adherence) among HLMSM that prevents and delays access and engagement 
in HIV prevention and care services (e.g., PrEP, ART). To date, most MM 
studies in the United States have focused on Black/African American 
persons. The few studies that have examined MM among H/L are mostly in 
non-HIV fields (e.g., reproductive health and chronic diseases, such as 
cancer screening). The literature highlights the need for research 
about MM among HLMSM.
    Because its root causes in this priority group are unknown, the 
goals of this collection are to understand pathways that lead to MM in 
HLMSM, and to capture variations in MM drivers among different H/L 
subgroups (e.g., Indigenous, Mexican, Puerto Rican, Salvadoran, 
Columbian). Methods used to collect data during this project include 
(1) In-depth interviews, focus groups, and quantitative surveys with 
HLMSM and (2) key informant interviews and focus groups with health 
care providers and H/L leaders/gatekeepers. Projects collecting 
information under this request should: (1) identify the root causes of 
MM and opportunities to implement interventions that can make HIV-
related services trusted and acceptable for HLMSM to help increase 
HLMSM access to, and utilization of, HIV prevention and care services; 
(2) contribute toward achieving Ending the HIV Epidemic in the U.S. 
(EHE) goals; and (3) respond to the National HIV Strategic Plan health 
disparities goals.
    CDC awarded a research cooperative agreement to three academic 
institutions (Johns Hopkins University [JHU]; the University of 
California, San Francisco [UCSF]; and Wake Forest University [WFU]) 
through a Notice of Funding Opportunity (NOFO) PS23-006. The total 
estimated annualized burden hours requested are 2,580. There is no cost 
to respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response (in        hours
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
HLMSM.........................  In-Depth                      66               1           10/60              11
                                 Interview
                                 Screener (JHU).
HLMSM.........................  In-Depth                      60               1           75/60              75
                                 Interview Guide
                                 (JHU).
HLMSM.........................  Eligibility                   70               1            5/60               6
                                 Questionnaire
                                 (WFU).
HLMSM.........................  Demographic                   60               1           15/60              15
                                 Questionnaire
                                 (WFU).
HLMSM.........................  In-Depth                      60               1             1.5              90
                                 Interview Guide
                                 (WFU).
HLMSM.........................  In-Depth                      48               1           10/60               8
                                 Interview
                                 Screener (UCSF).
HLMSM.........................  In-Depth                      40               1           45/60              30
                                 Interview Guide
                                 (UCSF).
HLMSM.........................  Focus Group                   55               1           10/60               9
                                 Interview
                                 Screener (JHU).
HLMSM.........................  Focus Group                   50               1           75/60              63
                                 Interview Guide
                                 (JHU).
Key Informants (Service         Focus Group                   55               1           10/60               9
 Providers and Community         Interview
 Leaders).                       Screener (JHU).
Key Informants................  Focus Group                   50               1           75/60              63
                                 Interview Guide
                                 (JHU).
Key Informants................  In-Depth                      55               1           10/60               9
                                 Interview
                                 Screener (JHU).
Key Informants................  In-Depth                      50               1           75/60              63
                                 Interview Guide
                                 (JHU).
Key Informants................  Demographic                   30               1           10/60               5
                                 Questionnaire
                                 (WFU).
Key Informants................  In-Depth                      30               1             1.5              45
                                 Interview Guide
                                 (WFU).
Key Informants................  In-Depth                      12               1           10/60               2
                                 Interview
                                 Screener (UCSF).
Key informants................  In-Depth                      10               1               1              10
                                 Interview Guide
                                 (UCSF).
HLMSM.........................  Cross-Sectional            1,788               1           10/60             298
                                 Survey Screener
                                 (JHU).
HLMSM.........................  Cross-Sectional            1,625               1               1           1,625
                                 Survey (JHU).
HLMSM.........................  Questionnaire                144               1           10/60              24
                                 Screener (UCSF).
HLMSM.........................  Questionnaire                120               1               1             120
                                 (UCSF).
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           2,580
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2024-03884 Filed 2-26-24; 8:45 am]
BILLING CODE 4163-18-P