# Proposed Data Collections Submitted for Public Comment and Recommendations

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URL: https://www.frixlaw.com/law-library/documents/fr%3A98-11823

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** May 5, 1998
- **Citation:** 63 FR 24810

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[INFO-98-18]

Proposed Data Collections Submitted for Public Comment and
Recommendations

In compliance with the requirement of Section 3506(c)(2)(A) of the
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 more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer on (404) 639-7090.
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 Seleda Perryman, CDC
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24,
Atlanta, GA 30333. Written comments should be received on or before
July 6, 1998.

Proposed Projects

1. The purpose of this study is to evaluate the reliability and
validity of existing instruments that measure stress and stressful life
events in black women of reproductive age. Eligible subjects will be
black women who live in the Atlanta metropolitan area. Subjects will be
recruited from flyers, newspaper announcements, hospitals and clinics
in the metropolitan Atlanta area. Subjects will be screened and
selected based on age (18-30 or 31-45 years), years of education (12,
13-15, 16 or more), and pregnancy status (pregnant, not pregnant). A
maximum of thirty women will be selected for each combination of age,
education and pregnancy status. The minimum age for participation will
be 18 to avoid the complications due to requirement of parental
consent. Women will be excluded if they use illicit drugs, such as
heroin, cocaine and marijuana because these substances may alter the
metabolism of cortisol. The contact, timing and spacing of the
interviews and laboratory collection are based on the methodology
developed and used for conducting reliability and validity tests.
Approximately one half of the women will be pregnant at the time of
data collection.
Women enrolled in the study respond to a series of face-to-face and
self-administered demographic and psycho-social questionnaires. Women
are also asked to provide a saliva sample so that we can correlate
reported levels of stress with biological measures of stress.
Participation in this study is voluntary and participants will
receive compensation of $35 for their time. A

[[Page 24811]]

written informed consent will be obtained and oversight will be
provided by local institutional review board.
This project should take two years. One hundred fifteen (115) women
will participate only in the validity study and thirty-nine (39) women
will participate in the validity and reliability study. The validity
study requires one interview and one salivary sample. The reliability
study requires a second interview and a second salivary specimen,
approximately two weeks after the first interview.
During the first three months of the study, the Project Director
will set up the office, hire staff and student assistants and provide
interviewer and data entry training. The Project Director will also
make contacts and explore potential sites for recruiting women for the
study. During the next nine months, all of the interviews
(approximately 115 validity subjects and 39 reliability subjects
remaining) will be conducted and data entry of the quantitative
instruments (i.e Demographic Lifestyle Questionnaire, Cohen Perceived
Stress Scale, Life Experience Survey (LES), ARIC/BAECKE Questionnaire
of Habitual Physical Activity, Center for Epidemiologic Studies
Depression Scale (CES-D), Profile of Mood States, Multiple Affect
Adjustive Checklist, Speilberger Trait Anxiety Inventory-Self
Evaluation Questionnaire) will be completed. Scoring for the
qualitative instruments (i.e. Structured Event Probe and Narrative
Rating Method (SEPARATE) and Life Events and Difficulties Schedule
(LEDS) will be initiated during year 1, but the bulk of the qualitative
scoring will be completed during Year 2. The data entry of the
qualitative date will be completed during Year 2. Preliminary analyses
will be conducted during Year 2, with the technical assistance of CDC.
The total estimated cost to respondents is $6,755 (39 reliability
participants @ $70 and 115 validity participants @ $35).

----------------------------------------------------------------------------------------------------------------
Number of Average burden/
Respondents Number of responses/ response (in Total burden
respondents respondent hrs.) (in hrs.)
----------------------------------------------------------------------------------------------------------------
Reliability Study Group:
African-American women for the ages of 18 to
45......................................... 39 2 3 234
Validity Study Group:
African-American women for the ages of 18 to
45......................................... 115 1 3 345
---------------------------------------------------------------
Total..................................... .............. .............. .............. 579
----------------------------------------------------------------------------------------------------------------

2. Expanded National Surveillance for Antimicrobial Resistance,
Pilot. The Hospital Infections Program, National Center for Infectious
Diseases, Centers for Disease Control and Prevention (CDC), is
proposing a surveillance system to identify patients with infections
with antimicrobial resistant pathogens of critical public health
importance. As a pilot project, we will first study glycopeptide
intermediate-resistant Staphylococcus aureus. Approximately \1/3\ of S.
aureus infections are now resistant to multiple antibiotics leaving
only vancomycin, the only Food and Drug Administration (FDA) approved
glycopeptide antibiotic available in the United States, for treatment
of these infected patients. CDC's Hospital Infections Program
recommended that all staphylococci possibly resistant to glycopeptides
(minimum inhibitory concentration [MIC] 4 g/mL) be
sent to CDC if the MIC is unchanged or higher. The incidence of these
resistant pathogens is thought to be rare, and to date only one
additional glycopeptide intermediate-resistant S. aureus (GRS) has been
identified. Clinicians caring for patients with infections due to GRS
have extremely limited treatment options for their patients, and
scientists are in need of adequate clinical specimens to create
informed hypotheses about mechanisms of resistance to aid in drug
discovery and treatment options.
To confirm and characterize GRS, we propose building on the
existing Emerging Infections Network of the Infectious Disease Society
of America (IDSA EIN, a pool of approximately 200 infectious disease
specialists), clinical microbiologists participating in CLINMICRONET (a
pool of approximately 100 microbiologists), the infection control
community, and industry, and CDC will serve as a reference laboratory.
The objectives of this surveillance system are to (1) obtain
epidemiologic and clinical data on patients with GRS infections so that
risk factors for infection and clinical impact of infection can be
studied, and (2) obtain GRS isolates to confirm identity and
susceptibility, create library of molecular fingerprints (pulsed field
gel electrophoresis [PFGE]), and study resistance mechanisms.
Number of respondents and burden to complete forms for possible
isolates (number of respondents is estimated since the actual incidence
of these pathogens is thought to be very low).

----------------------------------------------------------------------------------------------------------------
Number of Average burden/
Form Number of responses/ respondent (in Total burden
respondents respondent hrs.) (in hrs.)
----------------------------------------------------------------------------------------------------------------
Emerging Infections Network..................... 20 1 0.50 10
ClinMicronet.................................... 20 1 0.50 10
Industry/infection control community............ 40 1 0.50 20
---------------------------------------------------------------
Total..................................... .............. .............. .............. 40
----------------------------------------------------------------------------------------------------------------

[[Page 24812]]

Charles W. Gollmar,
Acting Associate Director for Policy Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 98-11823 Filed 5-4-98; 8:45 am]
BILLING CODE 4163-18-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A98-11823. Public record. Not legal advice.
