[Federal Register: February 12, 2009 (Volume 74, Number 28)]
[Notices]               
[Page 7066-7067]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12fe09-50]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-09-08BF]

 
Agency Forms Undergoing Paperwork Reduction Act Review

    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) 639-5960 or send an e-mail 
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Evaluation Models to Assess Patient Perspectives on Opt-out HIV 
Testing in Clinical Settings--New--National Center for HIV, Viral 
Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    In 2006, CDC published the Revised Recommendations for HIV Testing 
of Adults, Adolescents and Pregnant Women in Health Care Settings which 
recommends routine, opt-out HIV testing to persons 13-64 years of age 
in health care settings. The goal of this project is to develop 
evaluation models for health care providers in a variety of settings to 
independently assess the effect that expanded HIV screening activities 
have on patient attitudes toward and acceptance of HIV testing.
    The evaluation models will be packaged into a toolkit containing 
educational materials, administrative tools and a model questionnaire 
to measure patients' perceptions of their ability to decline testing, 
the sufficiency and effectiveness of methods used to

[[Page 7067]]

impart information prior to testing, and satisfaction with the testing 
process.
    As part of the development of a model questionnaire for inclusion 
in the toolkit, three health care settings (a hospital emergency 
department, a private primary care practice and a public primary care 
practice) will be selected to pilot test the questionnaire. In each 
health care site, 150 patients will be asked to voluntarily complete a 
brief computer assisted self interview regarding their experience with 
the HIV testing process during their health care visit.
    Collection of data will include information on patient demographics 
and current behaviors that may facilitate HIV transmission; perceptions 
regarding pressure to take the test; confidentiality and privacy during 
testing; and patient satisfaction and acceptance of opt-out HIV 
testing. For persons who refused HIV testing during their visit, 
information about refusal will be collected.
    Results from the pilot will be assessed to understand issues of 
feasibility of the model questionnaire and validity of the included 
items and scales. The findings will be used to improve the 
questionnaire and protocols included in the evaluation models toolkit.
    CDC is requesting approval for a 1-year clearance for data 
collection. CDC estimates that 188 patients will be asked to 
participate at each site and that 80% will accept, resulting in 
approximately 450 new survey respondents across all sites. The 
estimated average duration of the survey is 20 minutes. Participation 
is voluntary.
    There is no cost to the respondents other than their time.
    The total estimated annual burden hours are 150.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                               Average  number  Average  number  Average  burden
                         Type of form                          of  respondents   of  responses    per  response
                                                                  per annum      per respondent      (hours)
----------------------------------------------------------------------------------------------------------------
Clinic Patient Survey........................................             450                1            20/60
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    Dated: February 4, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E9-2973 Filed 2-11-09; 8:45 am]

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