[Federal Register: February 26, 2004 (Volume 69, Number 38)]
[Notices]
[Page 8974-8975]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26fe04-86]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-31-04]
Proposed Data Collections Submitted for Public Comment and
Recommendations
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) 498-1210. Send written
comments to CDC, Desk Officer, Human Resources and Housing Branch, New
Executive Office Building, Room 10235, Washington, DC 20503 or by fax
to (202) 395-6974. Written comments should be received within 30 days
of this notice.
Proposed Project: Survey of Chronic Fatigue Syndrome and Chronic
Unwellness in Georgia--New--National Center for Infectious Diseases
(NCID), Centers for Disease Control and Prevention (CDC).
Congress commissioned CDC to develop research that estimates the
magnitude of chronic fatigue syndrome (CFS) in the United States with
special consideration of under-served populations (children and racial/
ethnic minorities); describe the clinical features of CFS; and identify
risk factors and diagnostic markers. CDC is currently planning a study
in Georgia to estimate the prevalence of CFS and other fatigue
illnesses and to determine whether or not there are differences in
occurrence of fatigue illness across metropolitan, urban, rural
populations and in racial and ethnic populations.
In 2001, OMB approved the information collection, National
Telephone Survey of Chronic Fatigue Syndrome, under OMB Number 0920-
0498. In July 2001, CDC conducted a pilot survey to determine
feasibility of a national study and to test procedures for this
national survey of CFS. The pilot study showed that clinical evaluation
to confirm classification of CFS was not practical on a national level,
and the planned follow-on national survey was not conducted.
CDC has since modified the concept of the National Survey of CFS by
limiting data collection to one southern U.S. state (Georgia). This
modified research is better able to serve the objectives of the
National Survey of CFS and additional CDC objectives. Reasons
supporting this statement are listed below.
[sbull] Logistics. A difficulty in the Pilot Test was matching
subjects and physicians for clinical evaluations because subjects were
scattered across the continent. Focusing on a single state allows
operation of regional clinics and greater opportunities for
collaboration between and among CDC, Emory University, and consultants.
[sbull] Metropolitan, urban, and rural differences. Pilot Test
results suggest no regional differences in the occurrence of CFS-like
illnesses between and among the Midwest, south, west, and northeast, so
concentrating on one state (Georgia) should provide more generalized
information. Pilot Test findings suggested that further exploration of
urban and rural differences might prove useful. Again, Georgia well-
serves such a study with a major metropolitan center (Atlanta), urban
areas (Macon and Warner Robins), and rural populations (in counties
surrounding Macon) with well-defined regional differences.
[sbull] Racial/ethnic differences. The prevalence of CFS in other
than the white population has not been definitively measured, although
some studies indicate CFS prevalence in minority populations may be
higher than generally thought. Georgia has well-characterized urban and
rural as well as white, black, and Hispanic populations of varying
socioeconomic status living in the regions to be studied. The presence
of these populations is ideal for public health surveys. Taken
together, the proposed Georgia survey will produce estimates of the
prevalence of CFS in metropolitan, urban, and rural populations and
will elucidate racial/ethnic differences in CFS in these populations.
The proposed study replicates the Sedgwick County Study and the
National Pilot Test using similar methodology and data collection
instruments. The study begins with a random-digit-dialing telephone
survey to identify fatigued, unwell, and well individuals, followed by
detailed telephone interviews to obtain additional data on participant
health status. As a result of the telephone interviews, eligible
subjects will be asked to participate in clinical evaluations. CDC will
estimate the prevalence of CFS and other fatigue illnesses in
metropolitan, urban, and rural Georgia and in racial and ethnic
populations. CDC will compare prevalence estimates from this proposed
study of the Georgia population to estimates obtained for Sedgwick
County to ascertain whether or not Sedgwick County findings can be
generalized to other populations. The estimated annualized burden is
6,257 hours.
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Avg. burden per
Respondents Number of Number responses response (in
respondents per respondent hours)
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Screener interview........................................ 19,344 1 7/60
Telephone interview....................................... 8,000 1 30/60
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[[Page 8975]]
Dated: February 18, 2004.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease
Control and Prevention.
[FR Doc. 04-4234 Filed 2-25-04; 8:45 am]
BILLING CODE 4163-18-P