60 day FRN

Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Notices
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2016–18995 Filed 8–9–16; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–16–16AWP; Docket No. CDC–2016–
0075]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed study to
examine the facilitators and barriers to
receiving clinical preventive services
among newly insured medically
underserved women who had
previously been served by the National
Breast and Cervical Cancer Early
Detection Program (NBCCEDP). The
purpose of this survey is to assess if
newly insured women receive
appropriate clinical preventive health
services, what barriers and facilitators
these women experience, and if they are
able to maintain consistent health
insurance coverage.
DATES: Written comments must be
received on or before October 11, 2016.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2016–
0075 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for

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SUMMARY:

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Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
Please note: All public comment
should be submitted through the
Federal eRulemaking portal
(Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
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; (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to

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generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
Proposed Project
Women’s Preventive Health Services
Study—New—National Center for
Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The National Breast and Cervical
Cancer Early Detection Program
(NBCCEDP) provides free or low-cost
breast and cervical cancer screening and
diagnostic services to low-income,
uninsured, and underserved women.
The NBCCEDP is an organized screening
program with a full complement of
services including outreach and patient
education, patient navigation, case
management, professional development,
and tracking and follow-up that
contribute to the program’s success.
Compared to when the NBCCEDP was
established, more women are eligible for
insurance coverage but there are still
many women who are not insured and
many insured women not obtaining
preventive services that they are eligible
to receive. Currently, the NBCCEDP not
only provides screening services to
uninsured and underinsured, but has
expanded its services to include
population-based activities that prevent
missed opportunities and ensure that all
women receive appropriate breast and
cervical cancer screening.
Previous research suggests that access
to health care through insurance alone
does not ensure adherence to cancer
screening, as many individual, cultural,
and community factors serve as barriers
to preventive service use. With recent
increases in the numbers of women who
are insured, there is a need to
understand the experiences of women
who had been served by the NBCCEDP
and become newly insured. This project
will inform the development of future
activities of the NBCCEDP so that all
women receive the information and
support services needed for obtaining
clinical preventive services.

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Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Notices

The purpose of this project is to
examine the facilitators and barriers to
receiving clinical preventive services
among newly insured medically
underserved women who had
previously been served by the
NBCCEDP. The Women’s Preventive
Services Study aims to survey newly
insured women about what clinical
preventive health services they receive,
what barriers and facilitators they
experience, and their ability to maintain
consistent health insurance coverage.
While having newly acquired health
insurance will improve access to
preventive services, insurance coverage
alone would not result in improved
clinical preventive services utilization
for all women, especially among
underserved populations. This project
proposes to follow a group of women
previously served by the NBCCEDP over
3 years by administering a yearly
questionnaire.
This study will focus on the following
research questions:
1. What are the insurance coverage
patterns (e.g., public or private
insurance) for a sample of medically
underserved women previously
screened through the NBCCEDP?
2. What barriers and facilitators do
these women face in enrolling in new
insurance coverage?

the women to have their contact
information shared for the study. The
women who agree will receive an
invitation letter to participate in the
study through an on-line survey. The
first step of the on-line survey will be
a set of screener questions to determine
whether they have insurance coverage.
Only those who currently have
insurance will be eligible to continue
with the main survey instrument.
Women who complete the survey will
be asked to repeat the survey annually
the next 2 years.
The sample design proposes that
14,240 women be identified as eligible.
We estimate that 80% will be contacted
and agree to participate. Of that, we
expect 9,683 completed on-line
screenings to occur during year one,
representing an annualized 3,288
respondents. With an 85% expected
completion rate and annual attrition, we
estimate that 3,292 surveys will be
completed in Year 1; 2,222 completed
surveys in Year 2; and 1,500 completed
surveys in Year 3. This represents an
annualized 2,338 respondents for the
survey.
OMB approval is requested for three
years. Participation is voluntary and
there are no costs to respondents other
than their time. The estimated
annualized burden hours for this data
collection are 1,243 hours.

3. What preventive health services,
including cancer screening, do these
women receive?
4. What barriers and facilitators do
these women face in accessing
preventive health services through their
new coverage?
5. What are the non-financial and
financial costs to these women?
The respondents will be uninsured or
underinsured women who previously
had been screened through the
NBCCEDP but now have health
insurance coverage. To be potentially
eligible for the study, women must be
between the ages of 30–62 years, a U.S.
Citizen or U.S. permanent resident,
resident of the state where they received
NBCCEDP services, and English or
Spanish speaking. Additionally, women
must meet one of the prior screening
criteria: (1) Having received a Pap test
through a NBCCEDP state program not
less than 1 year but not more than 4
years from the time of study
implementation OR (2) received a Pap/
HPV co-test through a NBCCEDP grantee
not less than 3 years but not more than
5 years from the time of study
implementation OR (3) received a
mammogram through a NBCCEDP
grantee not less than 1 year but not more
than 3 years from the time of study
implementation.
NBCCEDP state programs will identify
potentially eligible women and consent

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Women aged 30–62 who previously received
services in the NBCCEDP.

Screener .......................

3,228

1

5/60

269

Survey ..........................

2,338

1

25/60

974

.......................................

........................

........................

........................

1,243

Total ...............................................................

Jeffrey M. Zirger,
Health Scientist, Acting Chief, Information
Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for
Science, Office of the Director, Centers for
Disease Control and Prevention.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

[FR Doc. 2016–18938 Filed 8–9–16; 8:45 am]

[60 Day–16–16AWN: Docket No. CDC–2016–
0080]

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Number of
respondents

Type of respondents

Centers for Disease Control and
Prevention

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of

SUMMARY:

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its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on the National Youth
Tobacco Survey (NYTS) 2017 Computer
Based Pilot. The NYTS is currently
administered in a paper and pencil
format. The NYTS Computer Based Pilot
will assess the feasibility of
administering the survey in an
electronic format.
DATES: Written comments must be
received on or before October 11, 2016.

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