Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30DAY-10-99]

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 Project:

1. Mammography Rescreening Rates and Risk Factor Assessment--New--

The National Center for Chronic Disease Prevention and Health

Promotion, Division of Cancer Control and Prevention proposes to

conduct mammography research to reduce breast cancer deaths by

detecting tumors while they are still small and easier to treat.

Because new tumors can develop in women previously free of breast

cancer, older women who face higher risks of developing breast cancer

should complete mammography screening every one to two years. To

provide cancer screening for low income women, Congress passed the

Breast and Cervical Cancer Mortality Prevention Act (Pub. L. 101-354)

in 1990. The Division of Cancer Prevention and Control (DCPC) in the

National Center for Chronic Disease Prevention and Health Promotion

(NCCDPHP), Centers for Disease Control and Prevention (CDC) was given

funding to establish the National Breast and Cervical Cancer Early

Detection Program (NBCCEDP). The NBCCEDP now provides mammography and

cervical cancer screening services to low income and medically under-

served women in all 50 states, the District of Columbia, 4 territories,

and 13 tribes. To assist state, territorial, and tribal programs with

efficient service delivery, new data are needed to (1) estimate

scientifically valid, statistically precise estimates of mammography

rescreening rates and (2) identify the factors associated with timely

rescreening among NBCCEDP-enrollees.

To obtain data on mammography rescreening rates and risk factors,

DCPC plans to conduct telephone interviews with a random sample of

2,250 NBCCEDP-enrollees from four states. Consenting women will

complete a 35 minute telephone interview about their knowledge,

attitudes, and experiences with mammography screening. Those who report

having received a mammogram during the study period (April 1, 1997

through September 30, 2000) will be asked to sign a release of

information form so a copy of the mammography report can be obtained to

verify the date the procedure was completed. All women invited to

participate in the survey will be 50-73 years of age. Each telephone

interview will be scheduled for a time (day, evening, or weekend) and

place that is convenient to the participant. The total annual burden

hours are 2,223.

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

No. of Average burden/

Respondents (forms) No. of responses/ response (in Total burden

respondents respondent hrs.) (in hrs.)

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

Telephone Script for Project Coordination....... 2,500 1 0.167 417

Telephone Interview............................. 2,250 1 0.50 1,125

Consent Form to Release Mammography Reports..... 1,350 1 0.167 225

Mammography Reports............................. 1,215 1.5 0.25 456

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

[[Page 15774]]

2. Multistate Case-Control Study of Childhood Brain Cancers--New--

The Agency for Toxic Substances and Disease Registry (ATSDR) is

mandated pursuant to the 1980 Comprehensive Environmental Response

Compensation and Liability Act (CERCLA), and its 1986 Amendments, The

Superfund Amendments and Reauthorization Act (SARA), to prevent or

mitigate adverse human health effects and diminished quality of life

resulting from exposure to hazardous substances in the environment.

Scientific knowledge is lacking concerning the reasons for the apparent

rise in childhood brain cancer incidence during the last two decades in

the U.S. and for explanations of childhood brain cancer in general. To

date, most epidemiologic studies exploring the causes of childhood

brain cancer have suffered from lack of statistical power due to the

small numbers of cases available for the study. By combining recent

childhood brain cancer data from multiple states, this study will help

to better understand what environmental factors may be associated with

childhood brain cancer, and therefore, to possibly develop well-focused

prevention measures.

This study will examine the association between environmental

exposures and risk of childhood brain cancers by employing a population

based case-control study of childhood brain cancer. Information to be

collected includes proximity of parental residence to hazardous waste

sites and other known or suspected risk factors. Other known or

purported risk factors identified from the literature, will include

both environmental and host factors during the prenatal as well as

postnatal periods: parental occupation, parents' and child's dietary

habits, parental history of smoking and drinking, mother's and child's

exposure to radiation through medical care, residential use of

pesticides or herbicides, mother's and child's history of viral

infection, and family history of cancer and neurological disorders.

This request is for a three-year OMB approval. Total annual burden

hours are 603.

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

No. of Avg. burden/

Respondents No. of responses/ response (in Total burden

respondents respondent hrs.) (in hrs.)*

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

Screener for controls........................... 16,000 1 0.05 800

Mothers of children with childhood brain cancers 1,200 1 0.75 900

and controls (interview).......................

Mothers of children with early childhood brain 100 1 1.083 108

cancers and controls (biological testing)......

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

* 1,808 3 years = 603 annualized burden hours.

Nancy Cheal,

Acting Associate Director for Policy, Planning and Evaluation, Centers

for Disease Control and Prevention (CDC).

[FR Doc. 99-8006 Filed 3-31-99; 8:45 am]

BILLING CODE 4163-18-P