Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30DAY-13-99]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) publishes a

list of information collection requests under review by the Office of

Management and Budget (OMB) in compliance with the Paperwork Reduction

Act (44 U.S.C. Chapter 35). To request a copy of these requests, call

the CDC Reports Clearance Officer at (404) 639-7090. Send written

comments to CDC, Desk Officer; Human Resources and Housing Branch, New

Executive Office Building, Room 10235; Washington, DC 20503. Written

comments should be received within 30 days of this notice.

Proposed Projects

1. Evaluation of NCIPC Recommendations on Bicycle Helmet Use--

Reinstatement--The National Center for Injury Prevention and Control's

(NCIPC), Division of Unintentional Injury Prevention (DUIP) intends to

continue to conduct a survey of 1,100 persons from its mailing lists

and lists of recipients of recommendations on the use of bicycle

helmets in preventing head injuries. These recommendations were

published in the Morbidity and Mortality Weekly Report of February 17,

1995.

The purpose of this survey is to determine:

I. The penetration of the recommendations distribution,

II. The usefulness of the bicycle helmet recommendations,

III. How to improve the recommendations' content and format,

IV. Potential future DUIP bicycle helmet promotional activities,

V. Information needs and access points of DUIP's ``customers''.

Results from this research will be used to (1) assist DUIP in

producing an updated version of the helmet recommendations; (2)

identify new helmet promotion programmatic directions; and (3) develop

future materials that meet the needs of DUIP ``customers.'' The study

will be a telephone survey. The total annual burden hours are 311.

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Number of Avg. burden/

Forms Number of responses/ response (in

respondents respondent hrs.)

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Section A....................................................... 1,100 1 .01666

Sections B, C................................................... 550 1 .01333

Sections D, E, F................................................ 550 1 .01333

Sections G, H, I................................................ 1,100 1 .01333

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2. Children's Longitudinal Development Study--New--Since 1991,

surveillance of children aged three to ten years who have one or more

select developmental disabilities (cerebral palsy, mental retardation,

hearing impairment, and vision impairment) has been conducted in the

five-county Atlanta metropolitan area through the Metropolitan Atlanta

Developmental Disabilities Surveillance Program (MADDSP). Children have

been identified primarily through the special education programs of the

public schools in those five counties. Recently, surveillance has been

expanded to identify children with cerebral palsy at younger ages

through a broader array of medical facilities where diagnostic

evaluations are performed, and to include autism as one of the

developmental disabilities routinely under surveillance. An ongoing

case-control study is proposed to yearly (1) contact parents of all

children with any of the five developmental disabilities who are newly

identified in the surveillance data base and who were born in the metro

Atlanta area (approximately 675 children per year) and contact parents

of 250 children used as controls in order to request access to both

maternal prenatal and labor and delivery hospital records and infant

hospital records prior to newborn discharge (all accessed medical

records will be reviewed to obtain detailed information on pre- and

perinatal risk factors for developmental disabilities; this type of

information typically is lacking or incomplete in school records or

childhood medical records) and (2) conduct telephone interviews with

mothers of approximately 250 children with cerebral palsy or severe

mental retardation selected from the larger pool of approximately 675

children, plus interview mothers of the 250 control children. The

interviews will supply additional risk factor information relating to

the mothers' medical and reproductive histories, prenatal behaviors and

exposures, and family histories of developmental problems. Initially,

to be cases, children in the interview sample would be under seven

years of age at the time they were diagnosed as having cerebral palsy

or severe mental retardation. A sample of Atlanta-born children of

similar age and birth weight to the interview case children would be

randomly identified from vital records and used as controls.

Additionally, photographs and head circumference measurements of case

and control mothers and children included in the interview sample will

be taken either in the home or at a centralized location. The total

annual burden hours are 1,141.

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Number of Avg. burden/

Respondents Number of responses/ response (in

respondents respondents hrs.)

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Mothers:

Contact Calls*--Cases....................................... 675 1 .333

Contact Calls*--Controls.................................... 250 1 .333

Scheduling Call**........................................... 500 1 .166

Telephone Interview......................................... 500 1 1.5

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* To obtain consent to participate in the study if there is no response to the letter of invitation.

** To schedule telephone interview.

[[Page 29321]]

3. Defining Gulf War Illness--New--National Center for

Environmental Health (NCEH)--This study will characterize and compare

alternative classifications for symptoms and functional disability

which remain medically unexplained in Gulf War veterans. This will be

accomplished in three phases. Phase I will assess persistence and

stability of symptoms over time, as well as compare the performance of

data-driven case definitions derived from two samples: (1) The New

Jersey Center for Environmental Hazards Research sample of Gulf War

veterans participating in the Department of Veterans Affairs Gulf War

Registry; and (2) a cohort of Air Force members from a previous CDC

study of Gulf War veterans and Gulf War-era controls from Pennsylvania

and Florida. In addition to assessing data-driven case definitions for

illness among Gulf War veterans, existing definitions for medically

unexplained symptoms, such as chronic fatigue syndrome, multiple

chemical sensitivity, and fibromyalgia will be evaluated. Phase II will

attempt to assess the generalizability of both derived and existing

case definitions in a random sample of deployed and non-deployed Gulf

War era veterans. Phase III will consist of a standardized telephone

interview for the assessment of psychiatric conditions. This will be

administered to a sample of Phase I and Phase II participants who are

identified through their responses to paper-and-pencil questionnaires

as having high levels of psychologic distress. The total annual burden

hours are 4,761.

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Number of Avg. burden/

Respondents Number of responses/ response (in

respondents respondent hrs.)

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Initial Address Confirmation.................................... 50 1 .0333

Introductory Script............................................. 7,000 1 .05

Main Questionnaire.............................................. 5,361 1 .75

Mail Survey..................................................... 387 1 .05

Refusal Conversion.............................................. 150 1 .0333

Address Confirmation............................................ 200 1 .0333

Third-Party Contact............................................. 25 1 .0333

Recontact Script................................................ 25 1 .0333

Follow-up Letter................................................ 500 1 .083

Follow-up Care.................................................. 804 1 .10

Request for Medical Records (letter)............................ 1,340 1 .05

Request for Medical Records Follow-up Call...................... 750 1 .0333

Medical Care Providers:

Request for Medical Records (letter)........................ 140 1 1

Request for Medical Records Follow-up Call.................. 42 1 0.0333

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Dated: May 24, 1999.

Nancy Cheal,

Acting Associate Director for Policy, Planning and Evaluation, Centers

for Disease Control and Prevention (CDC).

[FR Doc. 99-13739 Filed 5-28-99; 8:45 am]

BILLING CODE 4163-18-P