Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Agency Forms Undergoing Paperwork Reduction Act Review

Each Friday the Public Health Service (PHS) publishes a list of

information collection requests under review, in compliance with the

Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of

these requests, call the PHS Reports Clearance Office on (202) 690-

7100.

The following requests have been submitted for review since the

list was last published on June 30.

1. National Nursing Home Expenditure Survey (NNHES) of the National

Medical Expenditure Survey (NMES3)--New--The 1996 NMES3 National

Nursing Home Expenditure Survey (NNES) will collect data on use of

nursing homes and expenditures for nursing home care from facilities

and community respondents for policy and research purpose. Data will be

collected on use of nursing homes, expenditures, and sources of payment

for care, and facility and resident characteristics. Respondents:

Individuals or households; Business or other-for-profit; Not-for-profit

institutions; Federal Government; State, Local or Tribal Government.

Send comments to Allison Eydt, Human Resources and Housing Branch, New

Executive Office Building, Room 10235, Washington, D.C. 20503.

[[Page 35409]]

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Average

No. of No. of burden/

respondents responses/ response

respondent (hrs.)

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

NNHES facility............................................................. 1,969 2 3.35

Community respondents...................................................... 4,797 1 .5

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

Estimated total annual burden--15,590 hours.

2. Pretest and Main Rounds of the 1996-97 Household Survey (FAMES)

of the National Medical Expenditure Survey (NMES3); Medical Provider

Survey (Pretest & Main Survey), Health Insurance Provider Survey--New--

This household survey will produce national estimates for health care

use and expenditures, and health insurance coverage. Respondents

consist of persons living in a nationally representative subsample of

households that participated in the 1995 National Health Interview

Survey (NHIS). Samples of medical care providers and health insurance

providers for survey respondents will also be contacted to obtain

detailed information only they can provide. Respondents: Individuals or

households; Business or other for-profit; Not-for-profit institutions;

Federal Government; State, Local or Tribal Government. Send comments to

Allison Eydt, Human Resources and Housing Branch, New Executive Office

Building, Room 10235, Washington, D.C. 20503.

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

Average

No. of No. of burden/

respondents responses/ response

respondent (hrs).

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

Household Survey:.......................................................... 90 2.33 1.2

Pretest

Main survey................................................................ 15,700 2.67 1.8

Medical Providers Survey:.................................................. 18,767 1 .57

Pretest.................................................................... 260 1 2.03

Main Survey

Health Insurance Providers Survey.......................................... 10,500 1 .67

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

Estimated total annual burden--100,241 hours.

3. Surveillance and Epidemiology Study Core Questionnaire and

Supplemental Modules--0923-0010--Revision--ATSDR is revising and

renewing the project which follows populations exposed to specific

hazardous substances over a period of time to determine if they are

experiencing elevated occurrence of diseases. In addition to

demographic information, additional core information is collected on

behavioral characteristics and health conditions. The supplemental

modules are also included in the request that may be used, depending on

the organ system targeted or the type of respondent (renal, liver,

occupational, respiratory, etc). Respondents: Individuals or

households; Number of Respondents: 2667; Number of Responses Per

Respondent: 4.99; Average Burden Per Response: 0.369 hrs; Estimated

Total Annual Burden: 4908 hours. Send comments to Allison Eydt, Human

Resources and Housing Branch, New Executive Office Building, Room

10235, Washington, D.C. 20503.

4. 1996 National Household Survey on Drug Abuse (NHSDA)--0930-

0110--Revision--The NHSDA is a survey of the civilian,

noninstitutionalized population of the United States, age 12 and over.

The data will be used to determine the prevalence of cigarette,

alcohol, and licit and illicit drug use. The results will be used by

SAMHSA, ONDCP, Federal government agencies, and other organizations and

researchers to establish policy, direct program activities, and better

allocate resources. Respondents: Individuals or households; Number of

Respondents: 53,082; Number of Responses per Respondent: 1; Average

Burden per Response: 0.57 hr.; Estimated Total Annual Burden: 30,220

hours. Send comments to Allison Eydt, Human Resources and Housing

Branch, New Executive Office Building, Room 10235, Washington, D.C.

20503.

5. Native American Data Collection and Analysis for the Hanford

Environment Dose Reconstruction (HEDR) Project--0923-0335--

Reinstatement, no change--The dietary and life-style data to be

collected will be used to estimate radiation exposure and to determine

whether Native American exposure differed substantially from that of

the general population. Exposure estimates will then be used to

determine whether a full epidemiologic study of thyroid disease

specifically in the Native American population is scientifically

justifiable and feasible. Respondents: Individuals or households;

State, Local or Tribal Government; Number of Respondents: 3,000; Number

of Responses per Respondent: 1; Average Burden per Response: 1.5 hrs.;

Estimated Total Annual Burden: 4513 hours. Send comments to Allison

Eydt, Human Resources and Housing Branch, New Executive Office

Building, Room 10235, Washington, D.C. 20503.

6. National Survey of Local Boards of Health--New--The National

Association of Local Boards of Health (NALOBH), which was formed in

1992 provides a national voice for the concerns of local boards of

health. CDC will use the information collected to identify areas in

which technical assistance can be provided to local boards of health to

improve their capacity to better serve the communities which they

represent and to improve up-to-date information to boards of health.

Respondents: State, Local or Tribal Government; Number of Respondents:

2,170; Number of Responses per Respondent: 1; Average Burden per

Response: .33 hr.; Estimated Total Annual Burden: 723 hours. Send

comments to Allison Eydt, Human Resources and Housing Branch, New

Executive Office Building, room 10235, Washington, D.C. 20503.

7. Tuberculosis Statistics and Program Evaluation Activity--

Revision--0920-0026--Data is submitted to CDC from TB control programs

using the forms contained in this information collection.

[[Page 35410]]

This is the request to extend data collection on items such as HIV

status, drug suspectibility results, occupation, drug use, initial drug

therapy and type of health care provider. This data will enable CDC to

study and devise control methods. Respondents: State, Local or Tribal

Government; Number of Respondents: 117; Number of Responses per

Respondent: 1; Average Burden per Response: 41.03 hrs.; Estimated Total

Annual Burden: 4,800 hours. Send comments to James Scanlon, Office of

the Assistant Secretary for Health, Room 737-F, Humphrey Building, 200

Independence Ave., S.W., Washington, D.C. 20201.

8. Health Assessment of Persian Gulf War Veterans from Iowa--New--

The information obtained from this survey is needed in order to

determine the prevalence of adverse health outcomes among Persian Gulf

veterans who listed Iowa as their home of record. The study will

provide a scientific basis to assist CDC and other governmental

agencies in determining the need and direction of future studies. A

random sample of Persian Gulf War veterans will be compared with

Vietnam era controls. Respondents: Individuals or households; Number of

Respondents: 3000; Number of Responses per Respondent: 1.05; Average

Burden per Response: 1.23 hr.; Estimated Total Annual Burden: 3883

hours. Send comments to Allison Eydt, Human Resources and Housing

Branch, New Executive Office Building, Room 10235, Washington, D.C.

20503.

9. Pilot of Local Community Health Survey--New--This project will

pilot test a telephone survey questionnaire for use in collecting

comparable health behavior information at the local health department

or community level. The pilot will assess the costs of using a list-

assisted random digit dialing sample design, evaluate the collection of

information for children, and monitor the utility of the data to

participating local health departments. Respondents: Individuals or

households; Number of Respondents: 7800; Number of Responses per

Respondent: 1; Average Burden per Response: .29 hr.; Estimated Total

Annual Burden: 2276 hours. Send comments to Allison Eydt, Human

Resources and Housing Branch, New Executive Office Building, Room

10235, Washington, D.C. 20503.

10. Measuring the Impact of Minors' Access Restrictions on Tobacco

Use and Behavior by Youth--New--This study will provide new information

on the relationships between enforcement of minors' access to tobacco

laws, tobacco vendor perceptions and actions, and use of tobacco by

youth. Information from vendors, enforcement officials, and other local

community leaders will be collected. Measurement of tobacco use by

minors will be obtained from the existing Youth Risk Behavior Survey.

Respondents: Business or other for-profit; Number of Respondents: 3320;

Number of Responses per Respondent: 1; Average Burden per Response:

.322 hr.; Estimated Total Annual Burden: 1070 hours. Send comments to

Allison Eydt, Human Resources and Housing Branch, New Executive Office

Building, Room 10235, Washington, D.C. 20503.

11. Evaluation of CDC/WONDER/PC for Public Health Decision Making--

New--CDC is requesting approval for three-related evaluations of

Wonder/PC, the system which provides easy access to CDC data sets,

public health reports and guidelines, and electronic mail. It was

designed to enhance the ability of distally-located public health

employees to access important information for use in the public health

decision making practice. The proposed evaluation focuses on whether

CDC WONDER has improved how public health employees access and

incorporate information into their work. Respondents: Individuals or

households; Business or other for-profit; State, Local or Tribal

Government; Number of Respondents: 1500; Number of Responses per

Respondent: 1; Average Burden per Response: .21 hr.; Estimated Total

Annual Burden: 230 hours. Send comments to Allison Eydt, Human

Resources and Housing Branch, New Executive Office Building, Room

10235, Washington, D.C. 20503.

12. Inventory of Services and Funding Sources for Programs Designed

to Prevent Violence Against Women--New--CDC proposes conducting surveys

of federal and state agencies that fund programs in domestic violence

prevention, and the State coalitions on domestic violence to determine

what types of programs are being conducted at State and local levels

and funding sources for such programs. Respondents: Not-for-profit

institutions; Federal Government; State, Local or Tribal Government;

Number of Respondents: 300; Number of Responses per Respondent: 1;

Average Burden per Response: 1.25 hrs.; Estimated Total Annual Burden:

375 hours. Send comments to Allison Eydt, Human Resources and Housing

Branch, New Executive Office Building, Room 10235, Washington D.C.

20503.

13. Wilms' Tumor Study--New--Wilms' Tumor, as a type of renal

cancer, is among the priority health conditions identified by the ATSDR

to assist in directing its applied research programs examining the

relationship between hazardous substances exposures and health impacts.

Results of other Wilms' Tumor studies have linked environmental and

occupational hazardous substances exposures and these forms of cancer.

The proposed study, focusing on cases identified through the National

Wilms Tumor Study group, and including a randomly-selected control

group, is designed to examine the potential impact of exposure to

selected hazardous waste substances on Wilms' Tumor occurrence. Send

comments to Allison Eydt, Human Resources and Housing Branch, New

Executive Office Building, Room 10235, Washington D.C. 20503.

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

Average

No. of No. of burden/

respondents responses/ response

respondent (hrs.)

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

Screener................................................................... 3637 1 .05

Interview.................................................................. 540 1 .75

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

Estimated total annual burden--587 hours.

14. Evaluation of the Domestic Violence Prevention Module at the

UCLA Medical School of Medicine--New--The School of Medicine mandates

routine evaluations of each of its core courses, of which the Domestic

Violence is one. Besides the routine test of knowledge and skills that

students receive on a regular basis, CDC proposes to have students and

faculty complete process evaluation forms after two of the four

sessions to assess their satisfaction with the course, as well as the

implementation of it. Respondents: Individuals or households. Send

comments to James Scanlon, Office of the Assistant Secretary for

Health, Room 737-F, Humphrey Building, 200

[[Page 35411]]

Independence Ave., S.W., Washington, D.C. 20201.

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

Average

No. of No. of burden/

respondents responses/ response

respondent (hrs.)

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

Students..................................................................... 260 5 .285

Faculty...................................................................... 36 3 0.83

``Standardized'' patients.................................................... 100 1 .33

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

Estimated total annual burden--412 hours.

Written comments and recommendations concerning the proposed

information collections should be sent within 30 days of this notice

directly to the individual designated.

Dated: June 30, 1995.

James Scanlon,

Director, Data Policy Staff, Office of the Assistant Secretary for

Health and PHS, Reports Clearance Officer.

[FR Doc. 95-16804 Filed 7-6-95; 8:45 am]

BILLING CODE 4160-01-M