[Federal Register: February 27, 2003 (Volume 68, Number 39)]
[Notices]
[Page 9085-9086]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr27fe03-88]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-03-43]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer on (404) 498-1210.
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; and (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. Send comments to Anne O'Connor, CDC
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24,
Atlanta, GA 30333. Written comments should be received within 60 days
of this notice.
Proposed Project: Work Organization, Cardiovascular Disease, and
Depression Study--NEW--The National Institute for Occupational Safety
and Health (NIOSH), Centers for Disease Control and Prevention (CDC).
Cardiovascular disease (CVD) and depression represent health
problems of staggering proportion for the United States. An estimated
60 million Americans, over half of whom are younger than 65 years of
age, currently have some form of CVD and nearly 20% of all Americans
will experience at least one episode of major depression during their
lifetimes. In economic terms, the total yearly costs of CVD and
depression in the United States have been estimated at $327 billion and
$43 billion, respectively.
In addition to being common and costly health problems, CVD and
depression co-morbidity is frequent and recent studies have shown
increased cardiovascular morbidity and mortality in depressed patients,
implicating depression as a potential independent risk factor for CVD.
Understanding the causes and etiologic relationships between these two
illnesses represents a major challenge for public health researchers.
In addition to traditionally recognized risk factors, occupational
factors appear to play a role in the etiology of both CVD and
depression. For example, studies of occupational groups have shown
markedly different rates of CVD and depression that are too large to be
explained by known risk factors alone, and it is generally inferred
that chemical, physical and/or work organizational exposures must be
involved. While of relatively recent origins, the term ``work
organization'' has evolved to serve as a rubric that encompasses
diverse workplace exposures (often called job stressors) such as
psychological demands, limited job control, work role demands and
shift-work. There is considerable evidence that such factors play a
role in the etiology of both CVD and depression, but design and sample
size limitations of existing studies make it difficult to establish a
causal association and make specific public health recommendations.
This proposed study will examine the relationships between specific
job stressors, CVD and depression. To overcome the limitations of
previous studies, we are proposing a five-year prospective study with a
population of 20,000 workers, half of them women. Workers will be
identified through 20 large businesses sampled from the four geographic
Census regions of the U.S. Different types of businesses will be
sampled in order to incorporate diverse types of jobs and work.
Specific job stressors, perceived non-work stressors and general risk
factors for CVD and depression will be assessed. To ascertain exposures
and outcomes, the study will rely on employee medical records, blood
samples, and both self-reports and work-site assessments of job
conditions. Several instruments to evaluate the work environment will
be used, including the NIOSH Generic Job Stress Questionnaire, which
assess a variety of job stressors, as well as other relevant aspects of
the work environment.
This request is for three years of the five-year proposed data
collection with a total of 57,646 burden hours, and an estimated
annualized burden of 19,215 hours. There is no cost to respondents.
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Number of Average burden/
Data Number of responses/ response (in Total burden
respondents respondent hours) (in hours)
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Baseline Interview/Blood Collection Biometrics.. 21,993 1 75/60 27,491
Medical Records for Baseline.................... 4,398 1 30/60 2,199
[[Page 9086]]
Follow-up Interview 1........................... 17,594 1 30/60 8,797
Refusal Questionnaire........................... 4,399 1 5/60 367
Medical Records for Follow-up 1................. 3,519 1 30/60 1,760
Follow-up Interview 2........................... 14,995 1 30/60 7,498
Refusal Questionnaire........................... 2,639 1 5/60 220
Medical Records for Follow-up 2................. 2,999 1 30/60 1,500
Follow-up Interview 3........................... 12,712 1 30/60 6,356
Refusal Questionnaire........................... 2,243 1 5/60 187
Medical Records for Follow-up 3................. 2,542 1 30/60 1,271
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Total....................................... .............. .............. .............. 57,646
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Dated: February 18, 2003.
Thomas Bartenfeld,
Acting Associate Director for Policy, Planning and Evaluation, Centers
for Disease Control and Prevention.
[FR Doc. 03-4598 Filed 2-26-03; 8:45 am]
BILLING CODE 4163-18-P