Proposed Data Collections Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[INFO-95-01]

Proposed Data Collections Submitted for Public Comment and

Recommendations

In compliance with the requirement of Section 3506(c)(2)(A) of the

[[Page 39177]]

Paperwork Reduction Act of 1995 for opportunity for public comment on

proposed data collection projects, the Centers for Disease Control and

Prevention (CDC) will publish periodic summaries of proposed projects.

To request study materials on the proposed project, call the CDC

Reports Clearance Officer on (404) 639-3453.

Comments are invited on: (a) Whether the proposed collection of

information is necessary for the proper performance of the functions of

the agency, including whether the information shall have practical

utility; (b) the accuracy of the agency's estimate of the burden of the

proposed collection of information; (c) ways to enhance the quality,

utility, and clarity of the information to be collected; and (d) ways

to minimize the burden of the collection of information on respondents,

including through the use of automated collection techniques for other

forms of information technology. Send comments to Wilma Johnson, CDC

Reports Clearance Officer, 1600 Clifton Road, MS-D24, Atlanta, GA

30333. Written comments should be received within 60 days of this

notice.

Proposed Projects

1. Emergency Department Prevention of Alcohol-related Injuries--

New--The contribution of alcohol to injuries due to motor vehicle

crashes, violence, and other causes has been a public health concern

for many years. Because the emergency department(ED) is the primary

source of treatment for many individuals with alcohol-related injuries,

the ED visit provides a unique opportunity for early recognition and

initial clinical management of a major injury risk factor, excessive

alcohol consumption. The field of alcohol treatment is evolving rapidly

and therapeutic attention is increasingly directed toward persons with

mild or moderate drinking problems who do not require specialized

treatment. Controlled studies in outpatient primary care settings have

demonstrated that interventions consisting of as little as a single

brief interview and feedback session can decrease alcohol consumption

in 40% to 47% of excessive drinkers at 6 months followup. The purpose

of this study is to design, implement, and evaluate the effectiveness

of an ED-based prevention program for injured patients with alcohol

problems that incorporates promising new screening methods and a brief

intervention.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Patients............................. 1750 2 0.2

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2. HIV Prevention Programs in Minority and other Community-Based

Organizations Project Reports (0920-0249)--Reinstatement--In FY 1994,

CDC awarded approximately $8,400,000 to national/regional organizations

for HIV/STD prevention programs. In FY 1996 the President's budget

includes a request of $15.8 million to continue this program. CDC is

responsible for monitoring and evaluating HIV/STD prevention activities

conducted with these funds. These reports allow CDC to measure the

progress of activities and services supported with these funds which in

turn assures quality programming. This is a request to continue to

require quarterly progress reports from national/regional minority

organizations funded by CDC.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Organization......................... 90 4 1

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3. Applied Research for Traumatic Brain Injury (TBI) Follow-Up

Registry--New--The purpose of this data collection is to plan,

implement, and support a population-based registry of persons

sustaining TBI to better define the outcomes and secondary conditions

associated with the injury. One grant recipient will develop

population-based follow-up and data collection methods statewide or in

a population defined by a geo-political jurisdiction of 1.5 million or

more persons to define the long-term public health impacts of TBI.

Tracking mechanisms to follow-up persons with TBI will be developed, a

minimal data set will be defined to include demographic and cost data

and information about primary and secondary conditions, injury

severity, impairments, disabilities, services needed and used, and

community reintegration.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

TBI patients......................... 1000 2 0.5

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4. Epidemiology of Fatiguing Illness in Wichita: A Population-Based

Study--New--In 1994, OMB approved the information collection

``Epidemiology of Fatiguing Illness in Wichita: A Population-Based

Study'' under OMB Number 0920-0336. Data from this cross-sectional,

point prevalence, random-digit-dial survey of prolonged fatiguing

illness in San Francisco, CA concluded that CFS continues to exist and

that prolonged fatigue occurs in over five percent of the population in

San Francisco.

The proposed study replicates the San Francisco study using

identical methodology and data collection instruments. Beginning with a

random-digit-dial telephone survey to identify fatigued individuals,

followed by a case-control study where surveillance interview

instruments will be used to obtain comparative data on fatigued

individuals and matched health (non-fatigued) controls. Study

objectives remain to refine estimates of CFS in Wichita, identify

similarities and differences among cases and controls, and to evaluate

the merits of a physician-based surveillance conducted by the Wichita

department of health.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Individuals screened................. 13,000 1 0.083

Individuals interviewed.............. 1,200 1 0.25

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5. Refinement of an Instrument on Teen Pregnancy and Contraceptive

Use--New--The University of Alabama School of Public Health, through a

cooperative agreement with CDC, will develop an instrument that can be

used to obtain information about contraceptive decision making and

unintended pregnancy among teens. The CDC instrument is to identify

factors associated with (1) Early initiation of contraception for

sexually active teens; (2) use of effective contraceptive methods; (3)

attitudes and beliefs about different methods; (4) timing status of

pregnancy and whether an unintended pregnancy resulted from no use or

ineffective use; (5) the influence of alcohol and other drugs on

contraceptive use; and, (6) the impact of an unintended pregnancy on

subsequent contraceptive use. To develop the new instrument, UAB will

first conduct and use data from focus groups with teens. Second, the

new instrument will be administered by trained interviewers to

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a sample of teens pregnant for the first time and sexually active

nonpregnant adolescents aged 15-17 in Birmingham, Alabama. Once all of

the interviews are completed, data from the questionnaires will be

analyzed to determine: (1) The average length of the interview; (2) the

reactions of the respondents to the interview questions; (3) questions

that were difficult for the respondents and interviewers; and (4) the

actual responses to the interview questions. Based on the above

analyses, UAB will prepare a report for CDC which will include a

revised questionnaire, and recommendations for future use of this type

of instrument.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Pregnant adolescents................. 100 1 0.75

Sexually active nonpregnant

adolescents......................... 100 1 0.75

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6. Functional Outcome and Use of Services Following Firearm

Injuries--New--Patients admitted to an urban hospital for treatment of

a firearm injury will be followed in order to: (1) Examine the nature

and extent of functional limitations and disability following a firearm

injury, (2) examine the factors that influence patient recovery, and

(3) document the use of post-acute services and barriers to receiving

those services. The following data will be collected: (1) Patients will

be interviewed in person prior to discharge and by phone at 3 months

and 9 months after discharge; (2) the medical record will also be

abstracted.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Patients with firearms injuries...... 320 3 0.60

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7. Ciguatera Fish Poisoning Study--New--Approximately 100 patients

with acute ciguatera fish poisoning and matched controls who provide

written consent before entry into the study will be surveyed about

their fish consumption practices, history of ciguatera fish poisoning

and symptoms experienced. Objectives of the study will be to examine

risk factors for illness, including fish exposure and demographic

characteristics of patients. The study will also attempt to identify

distinct or characteristic symptom complexes and responses of patients

to various treatments. The study will permit systematic collection of

toxic fish specimens for further development of fish screening tests.

Respondents will be patients over age 18 presenting to emergency rooms

and diagnosed with ciguatera fish poisoning.

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Diagnosed patients................... 200 2 0.75

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8. A Case-Control Study to Determine if College Attendance is a

Risk Factor for Development of Invasive Meningococcal Disease (0920-

0321)--Reinstatement--The frequency of reports of fatal or life-

threatening meningococcal disease in previously healthy college

students raises the possibility that college students are at increased

risk of meningococcal disease. Potential similarities between college

students and military recruits, for whom increased risk has been

clearly established and who are routinely vaccinated against

meningococcal disease upon entry, suggest the need to clarify the role

of college attendance in the occurrence of meningococcal disease. To

determine if college attendance is a risk factor for meningococcal

disease NCID hopes to conduct a retrospective, case-control study based

on cases identified by state health departments. (0920-0321)

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

Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

Infected college students............ 400 1 0.355

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9. Nationally Sexually Transmitted Disease morbidity Surveillance

system--Continuation--The purpose of these reports is to collect STD

morbidity surveillance data from state health departments nationwide.

The data are used by health care planners at the national, state, and

local levels to develop and evaluate STD prevention and control

programs. In addition there are many other users of the data including

scientist, researchers, educators, students and the media.

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Avg.

No. of burden/

Respondents No. of responses/ response

respondents respondent (in

hours)

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

State and large city health

departments......................... 60 4 2

State and large city health

departments......................... 60 12 0.583

State and large city health

departments......................... 60 2 3

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Dated: July 20, 1995.

Joseph R. Carter,

Acting Associate Director for Management And Operations, Centers for

Disease Control and Prevention (CDC).

[FR Doc. 95-18827 Filed 7-31-95; 8:45 am]

BILLING CODE 4163-18-P