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Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents/
POCs

Form name

Number of
responses
per POC

Hours per
response

Total burden
hours

Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................

70
70
70

1
35
1

3/60
5/60
1

4
205
70

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

NA

NA

NA

283

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs

Form name

Total burden
hours

Average
hourly wage
rate *
($)

Total cost
burden
($)

Registration Form ............................................................................................
Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................

70
70
70
70

4
4
205
70

52.58
52.58
52.58
52.58

210
210
10,779
3,680

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

NA

213

NA

14,880

* Mean hourly wage rate of $52.58 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2016 National
Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at https://www.bls.gov/oes/current/oes119111.htm.

Request for Comments

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In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ’s health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) 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 upon the
respondents, including the use of
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.
Francis D. Chesley, Jr.,
Acting Deputy Director.
[FR Doc. 2018–09934 Filed 5–9–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–18–0572; Docket No. CDC–2018–
0026]

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 effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Health Message Testing System
(HMTS). The Health Message Testing
System (HMTS), a Generic information
collection, that enables programs across
CDC to collect the information they
require in a timely manner.
DATES: CDC must receive written
comments on or before July 9, 2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0026 by any of the following methods:
SUMMARY:

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• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
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. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all comments
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 Leroy A.
Richardson, 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

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Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to the OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses.
5. Assess information collection costs.

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Proposed Project
Health Message Testing System
(HMTS) 0920–0572—Reinstatement—
Office of the Associate Director for
Communication (OADC), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
Before CDC disseminates a health
message to the public, the message
always undergoes scientific review.
Even though the message is based on
sound scientific content, there is no
guarantee that the public will
understand a health message or that the
message will move people to take a
recommended action. Communication
theorists and researchers agree that for
health messages to be as clear and
influential as possible, target audience
members or representatives must be
involved in developing the messages,
and provisional versions of the
messages must be tested with members
of the target audience.
Increasingly, there are circumstances
when CDC must move swiftly to protect
life, prevent disease, or calm public
anxiety. Health message testing is even
more important in these instances,
because of the critical nature of the
information need.
In the interest of timely health
message dissemination, many programs

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forgo the important step of testing
messages on dimensions such as clarity,
salience, appeal, and persuasiveness
(i.e., the ability to influence behavioral
intention). Skipping this step avoids the
delay involved in the standard OMB
review process, but at a high potential
cost. Untested messages can waste
communication resources and
opportunities because the messages can
be perceived as unclear or irrelevant.
Untested messages can also have
unintended consequences, such as
jeopardizing the credibility of Federal
health officials.
The Health Message Testing System
(HMTS), a generic information
collection, enables programs across CDC
to collect the information they require
in a timely manner to:
• Ensure quality and prevent waste in
the dissemination of health information
by CDC to the public.
• Refine message concepts and to test
draft materials for clarity, salience,
appeal, and persuasiveness to target
audiences.
• Guide the action of health
communication officials who are
responding to health emergencies,
Congressionally-mandated campaigns
with short timeframes, media-generated
public concern, time-limited
communication opportunities, trends,
and the need to refresh materials or
dissemination strategies in an ongoing
campaign.
• Ensure each testing instrument will
be based on specific health issues or
topics.
Although it is not possible to develop
one instrument for use in all instances,
the same kinds of questions are asked in
most message testing. This package
includes generic questions and formats
that can used to develop health message
testing data collection instruments.
These include a list of screening
questions, comprised of demographic
and introductory questions, along with
other questions that can be used to
create a mix of relevant questions for
each proposed message testing data
collection method. However, programs
may request to use additional questions
if needed.
Message testing questions will focus
on issues such as comprehension,
impressions, personal relevance,
content and wording, efficacy of
response, channels, and spokesperson/
sponsor. Such information will enable
message developers to enhance the
effectiveness of messages for intended
audiences.
Data collection methods proposed for
HMTS includes intercept interviews,
telephone interviews, focus groups,
online surveys, and cognitive

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21777

interviews. In almost all instances, data
will be collected by outside
organizations under contract with CDC.
For many years CDC programs have
used HMTS to test and refine message
concepts and test draft materials for
clarity, salience, appeal, and
persuasiveness to target audiences.
Having this generic clearance available
has enabled them to test their
information and get critical health
information out to the public quickly.
Over the last three years, more than 30
messages have been tested using this
clearance. Examples of use of the HMTS
mechanism include:
(1) Domestic Readiness Initiative on
Zika Virus Disease-Year 2 Core
Campaign Materials. As part of the
mission of CDC’s Domestic Readiness
Initiative on the Zika Virus Disease,
CDC collected information to inform an
outcome evaluation to determine the
extent to which the campaign affected
awareness, attitudes, and intention to
follow recommended behaviors at
different points during the campaign.
The goal of the evaluation was to better
understand awareness of campaign
activities, how people perceive Zika as
a health risk, and assess their uptake of
recommended health behaviors, such as
applying insect repellent, using
condoms, and wearing long-sleeved
clothing.
(2) Assessing Perception and Use of
CDC Guideline for Prescribing Opioids
for Chronic Pain. The purpose of this
collection is to assess primary care
physician’s perceptions and use of
communication materials and products
associated with the CDC Guideline for
Prescribing Opioids for Chronic Pain.
Information collected can assist in the
most effective use of CDC
communication resources and
opportunities by assessing clarity,
salience, appeal, persuasiveness and
effectiveness of materials promoting the
dissemination and implementation of
the Guideline. Specifically, CDC seeks
to understand how primary care
physicians perceive, need, and
implement the Guideline to make
prescribing decisions; how they need,
obtain, and use supplementary and
promotional Guideline materials
developed by CDC for professional
development or patient education; and
what attitudinal and structural barriers
may inhibit primary care provider
adoption of the recommendations in the
Guideline.
Over 10,000 respondents were
queried and over 4,500 burden hours
used during the most recent approval
period. Because the availability of this
ICR has been so critical to programs in
disseminating their materials and

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21778

Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices

information to the public in a timely
manner, OADC is requesting a three
year extension of this information

collection. The estimated annualized
Burden Hours are 2,470. There is no

cost to the respondents other than their
time.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents
Public Health Professionals, Health Care
Providers,State and Local Public Health
Officials, Emergency Responders, General Public.
Total .......................................................

Jeffrey M. Zirger,
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.
[FR Doc. 2018–09918 Filed 5–9–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–18–0740]

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Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled Medical
Monitoring Project (MMP) to the Office
of Management and Budget (OMB) for
review and approval. CDC previously
published a ‘‘Proposed Data Collection
Submitted for Public Comment and
Recommendations’’ notice on [insert
August 22, 2017] to obtain comments
from the public and affected agencies.
CDC received 1 comment related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
CDC will accept all comments for this
proposed information collection project.
The Office of Management and Budget
is particularly interested in comments
that:
(a) Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
(b) Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,

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Number of
respondents

Form name

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Moderator’s Guides, Eligibility Screeners, Interview
Guides, Opinion Surveys,
Consent Forms.
...............................................

1

8/60

2,470

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

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

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

2,470

Proposed Project
Medical Monitoring Project (MMP)—
(OMB No. 0920–0740 Exp: 6/30/2018)—
Revision—National Center for HIV/
AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and
Prevention (CDC), Division of HIV/AIDS
Prevention (DHAP) requests a revision
of the currently approved Information
Collection Request: ‘‘Medical
Monitoring Project’’ expiring June 30,
2018. This data collection addresses the
need for national estimates of access to
and utilization of HIV-related medical
care and services, the quality of HIVrelated ambulatory care, and HIVrelated behaviors and clinical outcomes.

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Total
burden
(in hours)

18,525

including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected;
(d) Minimize the burden of the
collection of information on those who
are to respond, including, through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and
(e) Assess information collection
costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Direct
written comments and/or suggestions
regarding the items contained in this
notice to the Attention: CDC Desk
Officer, Office of Management and
Budget, 725 17th Street NW,
Washington, DC 20503 or by fax to (202)
395–5806. Provide written comments
within 30 days of notice publication.

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Average
burden per
response
(in hours)

Number of
responses per
respondent

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For the proposed project, the same
data collection methods will be used as
for the currently approved project. Data
would be collected from a probability
sample of HIV-diagnosed adults in the
U.S. who consent to an interview and
abstraction of their medical records. As
for the currently approved project, deidentified information would also be
extracted from HIV case surveillance
records for a dataset, referred to as the
minimum dataset, which is used to
assess non-response bias, for quality
control, to improve the ability of MMP
to monitor ongoing care and treatment
of HIV-infected persons, and to make
inferences from the MMP sample to
HIV-diagnosed persons nationally. No
other Federal agency collects such
nationally representative populationbased information from HIV-diagnosed
adults. The data are expected to have
significant implications for policy,
program development, and resource
allocation at the state/local and national
levels.
The changes proposed in this request
update the data collection system to
meet prevailing information needs and
enhance the value of MMP data, while
remaining within the scope of the
currently approved project purpose. The
result is a 11% reduction in burden, or
a reduction of 786 total burden hours
annually. Specifically, the removal of
three unfunded project areas reduces
the number of interviews conducted and
the number of persons for whom
healthcare facility staff will be asked for
contact information, assistance with
approaching for participation, and
pulling medical records.
Changes were made that did not affect
the burden, listed below:
• Sampled persons found to have
resided in a non-funded project area on
the date of sampling will be considered
ineligible for the project, because nonfunded project areas were deemed
ineligible in the first stage of sampling.

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