[Federal Register: February 17, 2009 (Volume 74, Number 30)]
[Notices]
[Page 7441-7442]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17fe09-80]
[[Page 7441]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60 Day-09-0539]
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 or
send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance
Officer, 1600 Clifton Road, MS D-74, 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
Estimating the Capacity for National and State-Level Colorectal
Cancer Screening through a Survey of Endoscopic Capacity (SECAP II)--
Reinstatement with Changes--Division of Cancer Prevention and Control,
National Center for Chronic Disease Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Colorectal cancer (CRC) is the second leading cause of cancer-
related deaths in the United States (U.S.). Removal of pre-cancerous
polyps before they transform into cancer can prevent colorectal cancer
from developing. Additionally, early asymptomatic cancers found through
screening respond better to treatment than more advanced cancers that
are detected once they become symptomatic. As a result, CRC is ideally
suited for prevention and early detection through regular screening.
Flexible sigmoidoscopy and colonoscopy, two lower gastrointestinal (GI)
endoscopic procedures currently recommended as colorectal cancer
screening tests, provide direct visualization of the colon, and allow
qualified medical professionals to identify and remove polyps as well
as to detect early cancers. Both of these tests require specialized
training. Flexible sigmoidoscopy provides a view of only the lower half
of the colon, but is still used widely. Colonoscopy, which provides a
view of the entire colon, is both a primary screening test and the
recommended follow-up procedure for any other positive colorectal
cancer screening test.
Information regarding the capacity of the U.S. health care system
to provide lower GI endoscopic procedures is critical to planning
widespread CRC screening programs. In 2002, CDC conducted the National
Survey of Endoscopic Capacity (SECAP) (OMB No. 0920-0539, exp. 3/31/
2003) to obtain an estimate of the number of colorectal cancer
screening and follow-up tests currently being performed, as well as the
maximum number of screening and follow-up tests that could be performed
in the event of widespread screening. In 2003-2005, CDC conducted
similar surveys in 15 selected states to provide estimates at state and
sub-state levels (State Survey of Endoscopic Capacity, OMB No. 0920-
0590, exp. 6/30/2006). These capacity estimates provided critical
information that helped in the planning of national and state
colorectal cancer screening efforts. However, in light of recent trends
in colorectal cancer screening (e.g. , increases in the percentage of
public and private insurers that reimburse for screening colonoscopy,
increased use of colonoscopy and decreased use of flexible
sigmoidoscopy, availability of other colorectal cancer screening
procedures), there is a need to update estimates of endoscopic capacity
to guide continued screening initiatives.
CDC plans to request OMB approval for three years to conduct a
national survey of endoscopic capacity again in 2009-2010, and
additional state-level surveys over a three-year period. The proposed
national survey will employ the same methodology used in the previous
national survey, and the same--but updated--sampling frame. The
proposed state-level information collection will include a census
survey of selected states, based on methodology employed with the
previously fielded state-based survey.
The target population for the national survey will be all
facilities in the U.S. that use lower gastrointestinal flexible
endoscopic equipment for the detection of colorectal cancer in adults.
Information will be collected from a random sample of 1,800 facilities,
stratified by U.S. Census region and urban/rural location. Similarly,
information will be collected from a census of qualifying facilities in
up to 18 selected states. An average of 200 facilities will participate
in each state capacity survey. The total estimated number of
respondents for the state capacity surveys is 3,600 facilities. The
same survey instrument will be used for both information collections.
Minor, non-substantive changes to the self-administered, paper-and-
pencil survey instrument will be made to improve usability.
The specific aims of the information collection are to provide: (1)
Current estimates of the number of colorectal cancer screening and
follow-up procedures being performed; (2) current estimates of the
maximum number of procedures that could be performed in the event of
widespread screening; and (3) information regarding the types of
facilities and providers that perform the procedures.
Facilities will be recruited and screened through a telephone
interview. Participation is voluntary and there are no costs to
respondents other than their time.
[[Page 7442]]
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Medical Facilities that Perform CRC Screening.. State Survey Recruitment Interview..... 1,400 1 5/60 117
State SECAP Survey..................... 1,200 1 25/60 500
National Survey Recruitment Interview.. 700 1 5/60 58
National SECAP Survey.................. 600 1 25/60 250
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Total...................................... ....................................... .............. .............. .............. 925
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Dated: February 6, 2009
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E9-3352 Filed 2-13-09; 8:45 am]
BILLING CODE 4163-18-P