[Federal Register: April 22, 2009 (Volume 74, Number 76)]
[Notices]
[Page 18384-18385]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr22ap09-54]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-09-0571]
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
Minimum Data Elements (MDEs) for the National Breast and Cervical
Cancer Early Detection Program (NBCCEDP)--Extension--National Center
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
Many cancer-related deaths in women could be avoided by increased
utilization of appropriate screening and early detection tests for
breast and cervical cancer. Mammography is extremely valuable as an
early detection tool because it can detect breast cancer well before
the woman can feel the lump, when the cancer is still in an early and
more treatable stage. Similarly, a substantial proportion of cervical
cancer-related deaths could be prevented through the detection and
treatment of precancerous lesions. The Papanicolaou (Pap) test is the
primary method of detecting both precancerous cervical lesions as well
as invasive cervical cancer. Mammography and Pap tests are underused by
women who have no source or no regular source of health care and women
without health insurance.
Despite the availability and increased use of effective screening
and early detection tests for breast and cervical cancers, the American
Cancer Society (ACS) estimated that 182,460 new cases of breast cancer
would be diagnosed among women in 2008, and that 40,480 women would die
of this disease. The ACS also estimated that 11,070 new cases of
invasive cervical cancer would be diagnosed in 2008, and that 3,870
women would die of this disease.
The CDC's National Breast and Cervical Cancer Early Detection
Program (NBCCEDP) provides screening services to underserved women
through cooperative agreements with 50 States, the District of
Columbia, 5 U.S. Territories, and 12 American Indian/Alaska Native
tribal programs. The program was established in response to the Breast
and Cervical Cancer Mortality Prevention Act of 1990. Screening
services include clinical breast examinations, mammograms and Pap
tests, as well as timely and adequate diagnostic testing for abnormal
results, and referrals to treatment for cancers detected. Awardees
collect patient level screening and tracking data to manage the program
and clinical services. A de-identified subset of data on patient
demographics, screening tests and outcomes are reported by each awardee
to CDC twice per year in the Minimum Data Elements (MDE) OMB No. 0920-
0571, exp. 1/31/2010). Burden to respondents was significantly reduced
in 2008 when the annual requirement to report infrastructure
information (System for Technical Assistance Reporting, STAR),
previously associated with collection of MDE information, was
discontinued.
CDC plans to request OMB approval to collect MDE information for an
additional three years. Because awardees already collect and aggregate
data at the state, territory and tribal level, the additional burden of
submitting data to CDC will be small. CDC will use the information to
monitor and evaluate NBCCEDP awardees; improve the availability and
quality of screening and diagnostic services for underserved women;
develop outreach strategies for women who are never or rarely screened
for breast and cervical cancer, and report program results to Congress
and other legislative authorities. There are no costs to respondents
other than their time.
[[Page 18385]]
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Number of responses per per response Total burden
respondents * respondent (in hours) (in hours)
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NBCCEDP Grantees............................ 68 2 4 544
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Dated: April 15, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E9-9155 Filed 4-21-09; 8:45 am]
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