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Federal Register / Vol. 70, No.

92 / Friday, May 13, 2005 / Notices 25573

scientific studies have demonstrated effective national effort to promote CRC services. The estimated procedure costs
that regular screening for CRC reduces screening could increase the demand for will be compared to the reimbursement
the incidence and mortality from this endoscopic procedures. rates for both screening procedures in
disease. Other studies have shown that It has been reported that order to determine whether the
regular screening for CRC is also cost- reimbursements for endoscopic difference between payments to
effective in terms of years of life saved. procedures in publicly-funded programs facilities and costs incurred is a
Despite strong scientific evidence and may not be adequate to cover the costs potential barrier to expansion of CRC
evidence-based clinical guidelines of performing these procedures. This screening to uninsured or underinsured
recommending screening, current may be a disincentive for providers to populations.
screening rates remain low. A recent perform endoscopy procedures.
CDC study reported that more than 40 Currently, there is little information The study will also determine
million Americans who are 50 years of available about the actual costs of whether there are technical factors that
age or older and at average risk for CRC providing these procedures in different enable some facilities to provide larger
have not been screened in accordance types of healthcare facilities in the numbers of endoscopic procedures at
with current guidelines. The study also United States. lower average costs than other facilities,
reported that screening this population The purpose of this project is to i.e., whether economies of scale and/or
with current endoscopic (i.e., flexible conduct a survey of a nationally economies of scope exist for certain
sigmoidoscopy and colonoscopy) representative sample of healthcare types of facilities. Results of this study
capacity in the health care system could facilities in order to estimate the will be used to better define the
require as much as ten years to economic costs of providing economics of colorectal cancer
complete. In view of the current colonoscopy and flexible sigmoidoscopy screening. There is no cost to the
shortage in endoscopic capacity, an for CRC screening and follow-up respondents other than their time.

ESTIMATE OF ANNUALIZED BURDEN TABLE


Number of re- Avg. burden Total burden
Number of re-
Form type sponses/re- per response of response
spondents spondent (in hrs.) (in hrs)

Telephone script to identify the appropriate respondent ................................. 2,530 1 5/60 211
Survey of hospital-based outpatient departments ........................................... 1,500 1 4.0 6,000
Survey of freestanding ambulatory surgery centers ........................................ 800 1 6.0 4,800

Total .......................................................................................................... ........................ ........................ ........................ 11,011

Dated: May 6, 2005. the data collection plans and (NCID)—Centers for Disease Control and
Joan F. Karr, instruments, call 404–371–5983 and Prevention (CDC).
Acting Reports Clearance Officer, Centers for send comments to Seleda Perryman,
Disease Control and Prevention. CDC Assistant Reports Clearance Background and Brief Description
[FR Doc. 05–9558 Filed 5–12–05; 8:45 am] Officer, 1600 Clifton Road, MS–D74, The proposed survey asks veterinary
BILLING CODE 4163–18–P Atlanta, GA 30333 or send an e-mail to students to describe their knowledge of
omb@cdc.gov. various public health programs, their
Comments are invited on: (a) Whether
career interests post-graduation and
DEPARTMENT OF HEALTH AND the proposed collection of information
how they arrived at such a decision, and
HUMAN SERVICES is necessary for the proper performance
their perception of the role veterinarians
of the functions of the agency, including
Centers for Disease Control and play in public health. The proposed
whether the information shall have
Prevention practical utility; (b) the accuracy of the study consists of an introductory letter
agency’s estimate of the burden of the and a self-administered, electronic
[60Day–05–05CD] questionnaire e-mailed to veterinary
proposed collection of information; (c)
ways to enhance the quality, utility, and students in the United States. The
Proposed Data Collections Submitted Association of American Veterinary
for Public Comment and clarity of the information to be
collected; and (d) ways to minimize the Medical Colleges (AAVMC) has agreed
Recommendations to collaborate on the survey and will
burden of the collection of information
In compliance with the requirement on respondents, including through the provide a list of veterinary students
of Section 3506(c)(2)(A) of the use of automated collection techniques from their membership mailing list. The
Paperwork Reduction Act of 1995 for or other forms of information study objectives are to describe current
opportunity for public comment on technology. Written comments should knowledge and attitudes of veterinary
proposed data collection projects, the be received within 60 days of this students regarding veterinary public
Centers for Disease Control and notice. health programs, and to determine their
Prevention (CDC) will publish periodic interests in a potential career in
summaries of proposed projects. To Proposed Project veterinary public health. There is no
request more information on the Veterinary Student Survey—New— cost to respondents other than their
proposed projects or to obtain a copy of National Center for Infectious Diseases time.

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25574 Federal Register / Vol. 70, No. 92 / Friday, May 13, 2005 / Notices

ESTIMATE OF ANNUALIZED BURDEN HOURS


Number of re- Average bur-
Number of re- Total burden
Respondents sponses per den / response
spondents hours
respondent (in hours)

Written Surveys ............................................................................................... 5000 1 10/60 834

Total .......................................................................................................... ........................ ........................ ........................ 834

Dated: April 6, 2005. Proposed Project can facilitate horizontal information


Joan F. Karr, sharing? (4) Is there utility in creating a
Web-based Reporting Systems for
Acting Reports Clearance Officer, Centers for guidance document to better promote
Tobacco Control: A Nationwide
Disease Control and Prevention. best practices in monitoring system
Assessment—New—The Office on
[FR Doc. 05–9560 Filed 5–12–05; 8:45 am] Smoking and Health (OSH), National development? (5) How can this
Center for Chronic Disease Prevention information be used by the CDC to
BILLING CODE 4163–18–P
and Health Promotion (NCCDPHP), highlight the benefits to public health of
Centers for Disease Control and state level computerized program
DEPARTMENT OF HEALTH AND Prevention (CDC). reporting and monitoring systems?
HUMAN SERVICES Roundtable discussions facilitated by
Background and Brief Description
the Office on Smoking and Health with
Centers for Disease Control and Implementation of a Web-based state tobacco control program staff have
Prevention reporting system assessment for the focused on standardized data collection
state health departments’ tobacco for contract management and process
[60Day–05–05BN] control programs. evaluation purposes. Participants
As state health departments strive to expressed frustration that states are
Proposed Data Collections Submitted standardize data collections to better often ‘‘recreating the wheel,’’ with each
for Public Comment and evaluate progress toward strategic goals state developing a unique system
Recommendations and objectives, a movement to develop without the benefit of learning from
web-based reporting systems is states with web-based systems already
In compliance with the requirement sweeping the field of public health. In in production. These discussions
of Section 3506(c)(2)(A) of the October of 2002, through a Prevention motivated the CDC to explore more
Paperwork Reduction Act of 1995 for Research Center (PRC) grant, researchers efficient means of sharing lessons
opportunity for public comment on from the University of Minnesota learned about computerized reporting
proposed data collection projects, the conducted a national assessment of systems.
Centers for Disease Control and tobacco control program monitoring The proposed research will build on
Prevention (CDC) will publish periodic practices among state health
the findings of the previous study.
summaries of proposed projects. To departments. Results indicated that all
Enhanced understanding of the
request more information on the states monitor tobacco control program
proliferation, costs and benefits of these
proposed projects or to obtain a copy of activities through either paper or
web-based reporting systems can (1)
the data collection plans and computer-based systems. In 1998, three
improve the capacity of the CDC to
instruments, call 404–371–5983 and states had computerized systems
service state health departments’
send comments to Seleda Perryman, operating, whereas in 2002, thirteen
cooperative agreement technical
CDC Assistant Reports Clearance states had launched systems and
assistance needs, (2) provide a template
Officer, 1600 Clifton Road, MS–D74, twenty-two more were in the planning/
for the CDC as it considers how
Atlanta, GA 30333 or send an e-mail to development stage (Blaine & Petersen,
electronic monitoring systems could be
omb@cdc.gov. presented at National Conference on
expanded to other public health arenas
Tobacco or Health, San Francisco,
Comments are invited on: (a) Whether besides tobacco control, and (3) save
November 20, 2002). Clearly, there is a
the proposed collection of information trend toward developing database state health departments time and
is necessary for the proper performance systems to assess and to monitor state money by using the information gleaned
of the functions of the agency, including tobacco prevention and control from this research to create an
whether the information shall have programs. accessible forum for knowledge sharing.
practical utility; (b) the accuracy of the However, recent loss of resources The proposed study has three separate
agency’s estimate of the burden of the available to state tobacco control methodological components: (1) A
proposed collection of information; (c) programs begs several questions: (1) nationwide baseline survey, (2) a
ways to enhance the quality, utility, and How have tightened public health follow-up phone interview with early
clarity of the information to be budgets affected the development of adopters, and (3) select case studies.
collected; and (d) ways to minimize the proposed and in-progress web-based This is a one time only research study.
burden of the collection of information monitoring systems? (2) What can we This tiered research approach will
on respondents, including through the learn from states that have already provide a systematic overview of web-
use of automated collection techniques implemented and upgraded their based reporting systems ranging from
or other forms of information systems that can save time and money the macro-level to the micro-level.
technology. Written comments should for states still in the development Aside from the minimal time needed to
be received within 60 days of this process? (3) How can we institute participate in the interviews, there will
notice. knowledge management systems that be no cost to participants.

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