[Federal Register: August 1, 2007 (Volume 72, Number 147)]
[Notices]               
[Page 42097-42098]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr01au07-76]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-07-07BI]

 
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 404-639-5960 
and send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail 
to omb@cdc.gov.
    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. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Rapid HIV Testing in Community Mental Health Settings Serving 
African Americans--New--National Center for HIV, Viral Hepatitis, STD 
and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    People with chronic mental illness, including those with substance 
use disorders, are at increased risk of HIV infection compared with the 
general population. However, not enough is known about the risk 
behaviors, willingness to be tested for HIV, and HIV prevalence among 
persons with chronic mental illness. In addition, the interrelations 
among diagnosis of HIV infection, compliance with medical care, 
subsequent risk behaviors, and the course of mental illness have not 
been well-described. Mental health clinics are an important setting for 
HIV rapid testing and promoting prevention efforts against the 
transmission of HIV infection.
    The objectives of this project are to (1) increase the number of 
mental health providers who routinely provide HIV counseling, testing, 
and linkage to care in settings that provide mental health care, 
especially those serving African American communities; and (2) describe 
the relationship between mental illness,

[[Page 42098]]

HIV risk behaviors, and access to HIV testing and services, in order to 
inform the development of optimal HIV prevention interventions for 
persons with chronic mental illness, and particularly for African 
Americans with chronic mental illness. Staff at selected implementation 
sites will routinely offer counseling and rapid HIV testing to clients 
and administer a brief survey to assess HIV risk behaviors, previous 
access to HIV testing and services, and mental health symptoms. 
Collection of data from client medical records will provide information 
on diagnoses, clinical course, and treatment history. Clients who 
enroll will be followed longitudinally with a follow-up survey offered 
at 6-month intervals and repeat rapid HIV testing offered annually.
    This project will collect data from clients using brief surveys 
administered on a voluntary basis. Collection of data will provide 
information on client demographics; current behaviors that may 
facilitate HIV transmission, including sexual and drug-use behaviors; 
current psychiatric symptoms, determined using brief rating scales; 
access and barriers to HIV testing, prevention, and treatment services; 
and adherence to psychiatric and medical treatment regimens. CDC is 
requesting approval for a 3-year clearance for data collection. Data 
will be collected in 4 community mental health sites. CDC estimates 
that an average of 900 clients will be asked to participate at each 
site annually and that 80% will accept, resulting in 2,880 new survey 
respondents each year across all sites. The average duration of the 
initial survey is estimated to be 45 minutes. CDC estimates an 80% 
acceptance rate at 6-month follow-up among the initial 2,880 
respondents, resulting in 2,304 respondents for the follow-up survey at 
6-month intervals and an average of 4,608 follow-up respondents per 
year over the course of the project. The average duration of the 
follow-up survey is estimated to be 30 minutes. Participation is 
voluntary. Data collection will provide important insights into the 
relationship between HIV risk behaviors and psychiatric illness. There 
is no cost to the respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                  Average number  Average number  Average burden   Total burden
                  Type of form                    of respondents   of responses    per response      per annum
                                                     per annum    per respondent      (Hours)         (Hours)
----------------------------------------------------------------------------------------------------------------
Clinic Patient Initial Survey...................           2,880               1           45/60           2,160
Clinic Patient Follow-up Survey.................           4,608               2           30/60           4,608
    Total.......................................  ..............  ..............  ..............           6,768
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    Dated: July 26, 2007.
 Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
 [FR Doc. E7-14893 Filed 7-31-07; 8:45 am]

BILLING CODE 4163-18-P