[Federal Register: July 26, 2005 (Volume 70, Number 142)]
[Notices]
[Page 43151]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26jy05-89]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-05-0466X]
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) 371-5983 or send an email to
omb@cdc.gov. 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
Validating Autism Surveillance Methodology in Metropolitan Atlanta
Developmental Disabilities Surveillance Program (MADDSP)--New--National
Center on Birth Defects and Developmental Disabilities (NCBDDD),
Centers for Disease Control and Prevention (CDC).
Background and Brief Description
MADDSP was established in 1991 as an ongoing active surveillance
system for select developmental disabilities (mental retardation,
cerebral palsy, vision impairment, and hearing loss) in 3 to 10 year
old children. In 1996, autism spectrum disorders (ASD) was added to
MADDSP due to growing concern about the prevalence of the condition.
MADDSP defines ASD as a constellation of social, communicative, and
behavioral impairments consistent with the DSM-IV-TR diagnostic
criteria for Autistic Disorder, Asperger's Disorder, and Pervasive
Developmental Disorders not otherwise specified.
MADDSP relies on an extensive review of records to identify
children with an ASD. Potential case records are identified from
multiple sources which are likely to maintain evaluation or treatment
records for children with ASD. Pertinent ICD-9, DSM-IV codes and
predetermined behavioral descriptions are used to trigger records for
abstraction. Clinical experts then review the abstracted data and
determine case status based on a behavioral coding scheme that is in
accordance with the DSM-IV-TR definition for Pervasive Developmental
Disorders.
This record review methodology for ASD surveillance has been
executed and is being used; however, the method is not currently
validated by a clinical sample which is considered the gold standard
for identifying ASD. For this reason, it is important to validate
surveillance methods in a clinical sample in order to determine whether
current surveillance methodology accurately captures prevalence
estimates for this developmental outcome. The sensitivity and
specificity of MADDSP will be measured using judgments from the
clinical exam as the gold standard. The results from this study will
provide important implications for how ASD surveillance is maintained.
Primary caregivers of children already identified through
surveillance methods will be contacted, informed of the study, and
asked to participate through telephone contact. Clinic visits will be
scheduled for all children whose primary caregiver agrees to take part
in the study and who signs a written informed consent; child assent
will be obtained at the time of the clinic visit. Data collection
methods will consist of: (1) Parental questionnaires, which will focus
on questions about their child's behavior and developmental history;
and, (2) a developmental evaluation for the child participant, which
includes a play based assessment specific to ASD and a measure of
cognitive development. There is no cost to respondents other than their
time. The total estimated annualized burden hours are 646.
Estimated Annualized Burden Table
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Number of Avg. burden
Survey instruments Number of responses per per response
respondents respondent (in hours)
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Telephone Contact............................................... 500 1 10/60
Parental Interviews and Questionnaires.......................... 125 1*2.5
Developmental Evaluation of the Child........................... 125 1 2
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\*\ One response per hour for an estimated 2.5 hours of clinic time; estimation of clinic time takes into
consideration that parents and children will be encouraged to complete assessment simultaneously and that
additional clinic time may be required due to individual differences.
Dated: July 20, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 05-14681 Filed 7-25-05; 8:45 am]
BILLING CODE 4163-18-P