Att B_60d FRN

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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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Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Notices
You may submit comments,
identified by Docket No. CDC–2016–
0080 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
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

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ADDRESSES:

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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
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
National Youth Tobacco Survey
(NYTS) 2017 Computer Based Pilot—
New—National Center for Chronic
Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
Tobacco use is a major preventable
cause of morbidity and mortality in the
U.S. A limited number of health risk
behaviors, including tobacco use,
account for the overwhelming majority
of immediate and long-term sources of
morbidity and mortality. Because the
majority of tobacco users begin using
tobacco before the age of 18, there is a
critical need for public health programs
directed towards youth, and for
information to support these programs.
In 1999, 2000, and 2002, the
American Legacy Foundation funded
surveys to assess tobacco use among
adolescents. Building on these efforts,
CDC conducted the National Youth
Tobacco Survey (NYTS, OMB no. 0920–
0621) in 2004, 2006, 2009, 2011, 2012,
2013, 2014, 2015, and 2016. At present,
the NYTS is the most comprehensive
source of nationally representative
tobacco data among students in grades
9–12, moreover, the NYTS is the only
national source of such data for students
in grades 6–8. The NYTS has provided
national estimates of tobacco use
behaviors, information about exposure
to pro- and anti-tobacco influences,
information about racial and ethnic
disparities in tobacco-related topics, and
most recently, estimates of use of
emerging products such as water pipes
(hookahs) and electronic cigarettes (ecigarettes). Information collected

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52869

through the NYTS is used by CDC, the
Food and Drug Administration (FDA),
and public health practitioners and
researchers to identify and monitor
trends over time, to inform the
development of tobacco cessation
programs for youth, and to evaluate the
effectiveness of existing interventions
and programs.
The NYTS is currently conducted by
a paper and pencil (PAP) method in a
classroom setting, scheduled by each
school. At this time, many schools have
experience with electronic technologies
that offer several potential advantages
compared to PAP survey administration.
For example, electronic information
collection methods support conditional
‘skip logic’ routing and adaptive survey
design, and may improve respondent
satisfaction, data reliability, and data
management. As a result, CDC plans to
conduct a computer based pilot of the
2017 NTYS using a hand-held tablet.
The specific aims of the 2017 NYTS
pilot are to (1) assess respondent
burden; (2) determine the reliability and
efficiencies of electronic mode data
collection; (3) assess the reliability and
validity of survey results obtained from
electronic data; (4) assess the costeffectiveness of electronic
administration; (5) measure the length
of time between data collection and
dissemination of findings; and (6) assess
student expectations about survey
participation, given changes in
classroom technology.
The computer-based pilot study is
designed to complement the ongoing,
paper-based NYTS. In 2017, the PAP
version of the NYTS will be
administered as usual according to
established methods (OMB No. 0920–
0621, exp. 1/31/2018). Sampling,
recruitment, and survey administration
for both studies will be coordinated to
prevent overlap, maximize
participation, and maximize the
comparison of results. The sampling
vendor for the traditional NYTS will
oversample from the NYTS sampling
frame, assigning a smaller population to
participate in the pilot study. The
sample for the pilot study will be
approximately 75% of the size of the
sample for the paper-based NYTS. The
samples for each mode of the survey
will be drawn at the same time to ensure
that the same schools are not
approached for the different versions.
Additionally, the paper version of the
survey will start collecting data prior to
the pilot version beginning data
collection to ensure schools in the same
district do not face multiple collectors
during the same time period.
The 2017 computer-based pilot of the
NYTS will be conducted among a

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52870

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

nation-wide sample of students
attending public schools in grades 6–12.
Participating students will complete the
survey in person in a classroom setting
using a tablet provided by CDC’s
information collection contractor. The
tablet will be distributed at the
beginning of the class session and
returned at the end of the class session.
This is similar to administration of the
PAP NYTS, in which a paper
questionnaire booklet is distributed to
students at the beginning of a class
session, completed, and returned at the
end of the session.
The content of the 2017 pilot survey
will mirror the paper-based survey. The
questions, developed in cooperation

Results will also be used to help
evaluate the impact of automated
collection techniques and computerbased survey administration on
response burden. After data collection,
the computer-based data will be
compared to the paper-based data to
determine which method provides the
most validity and reliability.
OMB approval will be requested for
one year. There are no changes in the
estimated burden per response for any
type of respondent compared to the
paper version. Participation is voluntary
and there are no costs to respondents
other than their time. The estimated
annualized burden hours for this data
collection are 3,689 hours.

with the Food and Drug Administration
(FDA), examine the following topics:
Use of cigarettes, smokeless tobacco,
cigars, pipes, bidis, snus, hookahs,
electronic vapor products, and
dissolvable tobacco products;
knowledge and attitudes; media and
advertising; access to tobacco products;
secondhand smoke exposure; and
cessation. In addition, specific questions
will be included in the pilot survey to
better understand respondents’ feelings
about safety and security around
utilizing a computer based survey.
Findings from the NYTS pilot will be
used to assess the feasibility of
conducting the computer-based NYTS
compared to the paper-based survey.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

State Administrators ......

Students .........................

State-level Recruitment Script for the National
Youth Tobacco Survey.
District-level Recruitment Script for the National
Youth Tobacco Survey.
School-level Recruitment Script for the National
Youth Tobacco Survey.
Data Collection Checklist for the National Youth
Tobacco Survey.
National Youth Tobacco Survey ..........................

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

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

District Administrators ....
School Administrators ....
Teachers ........................

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.
[FR Doc. 2016–18937 Filed 8–9–16; 8:45 am]
BILLING CODE 4163–18–P

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.

mstockstill on DSK3G9T082PROD with NOTICES

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

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30/60

3

45

1

30/60

23

64

1

30/60

32

292

1

15/60

73

6,100

1

35/60

3,558

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

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

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

3,689

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 field survey to
assess safety and health hazards to
workers in oil and gas (O&G.) extraction.

You may submit comments,
identified by Docket No. CDC–2016–
0077 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
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.

ADDRESSES:

[60Day–16–16AXC; Docket No. CDC–2016–
0077]

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Total burden
(in hrs.)

1

Written comments must be
received on or before October 11, 2016.

Centers for Disease Control and
Prevention

Average
burden per
response
(in hrs.)

6

DATES:

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

SUMMARY:

Number of
responses per
respondent

Number of
respondents

Type of respondents

Sfmt 4703

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

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10AUN1