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Federal Register / Vol. 72, No.

38 / Tuesday, February 27, 2007 / Notices 8737

Rights, 200 Independence Ave. SW., Region IV, Regional Manager, OCR/ or other forms of information
Room 509F, Washington, DC 20201. HHS, Atlanta Federal Center, Suite technology. Written comments should
3B70, 61 Forsyth Street, SW., Atlanta, be received within 60 days of this
NOTIFICATION PROCEDURE:
GA 30303. notice.
Contact System Manager (above). Region V, Regional Manager, OCR/HHS,
Include name and address of Proposed Project
233 N. Michigan Ave, Suite 240,
complainant, and name of the recipient Chicago, IL 60601. Assessing Diabetes Detection
against which the allegation was filed. Region VI, Regional Manager, OCR/ Initiative for Policy Decision—New—
The Department is exempting all HHS, 1301 Young Street, Suite 1169, National Center for Chronic Disease
investigative records from this provision Dallas, TX 75202. Prevention and Health Promotion
(see below: Records Exempted). Region VII, Regional Manager, OCR/ (NCCDPHP), Centers for Disease Control
HHS, 601 E. 12th Street—Room 248, and Prevention (CDC).
RECORD ACCESS PROCEDURE:
Kansas City, MO 64106. Background and Brief Description
Same as notification procedures. Region VIII, Regional Manager, OCR/
Requesters should also reasonably HHS, Federal Office Building, 1961 Type 2 diabetes is a chronic disease
specify the record contents being Stout Street—Room 1185, Denver, CO that affects more than 18 million
sought. Requests should be made to the 80294. Americans, approximately 5 million of
system manager (above). The Region IX, Regional Manager, OCR/ whom do not know that they have the
Department is exempting all HHS, 50 United Nations Plaza—Room disease. As the disease progresses, it
investigative records from this provision 322, San Francisco, CA 94102. often causes severe complications,
(see below: Records Exempted). Region X, Regional Manager, OCR/HHS, including heart disease, blindness,
2201 Sixth Avenue—Suite 900, lower extremity arterial disease, and
CONTESTING RECORD PROCEDURE:
Seattle, WA 98121. kidney failure. American Indians,
Contact the official(s) at the address African Americans, Latino Americans,
specified under System Manager, and [FR Doc. E7–3283 Filed 2–26–07; 8:45 am]
BILLING CODE 4153–01–P
and some Asian Americans and Pacific
reasonably identify the record and Islanders are disproportionately affected
specify the information to be contested by diabetes. Identifying persons who
and corrective action sought with have undiagnosed diabetes and treating
supporting justification. (These DEPARTMENT OF HEALTH AND
HUMAN SERVICES them could prevent or delay diabetes
procedures are in accordance with complications.
Department Regulations (45 CFR 5b.7) Centers for Disease Control and In November 2003 the Diabetes
Federal Register, October 8, 1975, page Prevention Detection Initiative (DDI) was launched
47411.) The Department is exempting in 10 locations around the U.S. to
all investigative records from this [60Day–07–05CZ] identify a portion of the estimated 5
provision (see below: Records million people with undiagnosed Type
Exempted). Proposed Data Collections Submitted
for Public Comment and 2 diabetes, targeting specific areas in
RECORD SOURCE CATEGORIES: Recommendations each of 10 locales in which residents are
likely to be at higher risk for Type 2
Information is provided by In compliance with the requirement diabetes. Implementation of the DDI
complainants and covered entities. of section 3506(c)(2)(A) of the involved distributing a paper-and-pencil
SYSTEM RECORDS EXEMPTED FROM CERTAIN Paperwork Reduction Act of 1995 for risk test. Individuals whose score
PROVISIONS OF THE ACT: opportunity for public comment on indicated that they were at an increased
OCR investigative records maintained proposed data collection projects, the risk for diabetes were advised to see
in PIMS, either as paper records or Centers for Disease Control and their regular doctor (or to schedule an
electronic documents are records Prevention (CDC) will publish periodic appointment at one of several clinics
compiled for law enforcement purposes summaries of proposed projects. To that had agreed to participate in the
are exempt under subsection (k)(2) from request more information on the DDI), to receive a finger-stick or other
the notification, access, correction and proposed projects or to obtain a copy of tests to confirm whether or not they
amendment provisions of the Privacy the data collection plans and have diabetes. Whether or not the DDI
Act. instruments, call 404–639–5960 and should be expanded to other
send comments to Joan Karr, CDC communities depends on the health
APPENDIX NUMBER 1—SYSTEM LOCATIONS: Acting Reports Clearance Officer, 1600 benefits and costs of the program. The
This system is located at HHS offices Clifton Road, MS–D74, Atlanta, GA CDC is planning to conduct a study to
in the following cities. 30333 or send an e-mail to provide this critical information.
Headquarters, PIMS Project Manager, omb@cdc.gov. The planned study will assess the
Resource Management Division, Comments are invited on: (a) Whether resources used, the cost per case
Office for Civil Rights, 200 the proposed collection of information detected, and the perceived benefit of
Independence Ave., SW., Room 509F, is necessary for the proper performance the DDI to participants. Data for the
Washington, DC 20201. of the functions of the agency, including economic assessment will be obtained
Region I, Regional Manager, OCR/HHS, whether the information shall have by conducting three separate surveys:
J.F. Kennedy Federal Building—Room practical utility; (b) the accuracy of the (1) A local implementation team survey
1875 Boston, Massachusetts 02203. agency’s estimate of the burden of the will be administered to the 10 DDI local
Region II, Regional Manager, OCR/HHS, proposed collection of information; (c) implementation leaders to obtain
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26 Federal Plaza—Suite 3312, New ways to enhance the quality, utility, and information on resources used by the
York, NY 10278. clarity of the information to be members of DDI local implementation
Region III, Regional Manager, OCR/ collected; and (d) ways to minimize the teams and community based
HHS, 150 S. Independence Mall West, burden of the collection of information organizations to implement the non-
Suite 372, Public Ledger Building, on respondents, including through the medical service delivery activities for
Philadelphia, PA 19106. use of automated collection techniques the DDI program; (2) a health clinic

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8738 Federal Register / Vol. 72, No. 38 / Tuesday, February 27, 2007 / Notices

leadership survey will be sent to the resources used to implement the DDI result of the DDI, staff time associated
clinic directors in each of the 43 clinics program (including the staff time and with DDI planning and implementation,
that participated in the DDI across the resources used by community-based and any staff time that was devoted to
10 locations to obtain information on organizations that participated in the performing finger stick tests at locations
the cost of delivering the medical DDI implementation). These planning other than the health clinic (e.g., health
services required in diabetes screening and implementation activities include fairs, shopping malls, work sites,
and diagnosis; and (3) a patient survey participating in meetings and housing complexes). Of the 43 clinics to
will be administered to a sample of 600 conference calls, recruiting clinics and be surveyed, we expect that 30 (70%)
patients at the 43 participating clinics to community-based organizations to will complete the survey.
obtain information regarding patient participate in the DDI, distributing risk
out-of-pocket medical and non-medical tests, organizing health fairs and other A computer-assisted in-person patient
direct health care costs and the community events, and designing media survey will be administered to a sample
perceived economic benefits of diabetes campaigns to promote the DDI. of 600 clinic patients at the 43 clinics
screening. The results of the study will The health clinic leadership survey that participated in the DDI. The survey
also provide information needed for will be mailed to the clinic director at will collect background information,
conducting a more complete cost- each of the 43 clinics across the 10 out-of-pocket medical and non-medical
effectiveness analysis of screening for locations that participated in the DDI direct health care costs (e.g., co-
undiagnosed diabetes. implementation. The survey will collect payments, transportation costs, value of
The local implementation team information regarding the costs patients’ time associated with the clinic
survey will be mailed to the local DDI associated with the clinic’s participation visit), and preferred features of a
implementation team leader in each of in the DDI. These will include the diabetes screening program. There are
the 10 regions to collect information medical costs of providing care to no costs to respondents other than their
regarding the staff time and other patients who visited the clinic as a time.

ESTIMATED ANNUALIZED BURDEN HOURS


Average
No. of Total
No. of burden per
Respondents responses per burden
respondents response
respondent (in hours)
(in hours)

Implementation team members ........................................................................... 10 1 2 20


Clinic staff ............................................................................................................ 30 1 1 30
Patients at DDI clinics ......................................................................................... 600 1 20/60 200

Total .............................................................................................................. ........................ ........................ ........................ 250

Dated: February 22, 2007. Acting Reports Clearance Officer, 1600 Background and Brief Description
Joan F. Karr, Clifton Road, MS–D74, Atlanta, GA
Acting Reports Clearance Officer, Centers for 30333 or send an e-mail to Racial and Ethnic Approaches to
Disease Control and Prevention. omb@cdc.gov. Community Health (REACH) currently
[FR Doc. E7–3333 Filed 2–26–07; 8:45 am] Comments are invited on: (a) Whether funds forty local coalitions to establish
the proposed collection of information community based programs and
BILLING CODE 4163–18–P
is necessary for the proper performance culturally appropriate interventions to
of the functions of the agency, including eliminate racial and ethnic health
DEPARTMENT OF HEALTH AND whether the information shall have disparities. Communities served by
HUMAN SERVICES practical utility; (b) the accuracy of the REACH include: African American,
agency’s estimate of the burden of the American Indian, Hispanic American,
Centers for Disease Control and proposed collection of information; (c) Asian American, and Pacific Islander.
Prevention ways to enhance the quality, utility, and These communities select among infant
clarity of the information to be mortality, deficits in breast and cervical
[60Day–07–07AJ] cancer screening and management,
collected; and (d) ways to minimize the
Proposed Data Collections Submitted burden of the collection of information cardiovascular diseases, diabetes, HIV/
for Public Comment and on respondents, including through the AIDS, and deficits in childhood and
Recommendations use of automated collection techniques adult immunizations to focus their
or other forms of information interventions. Guided by logic models,
In compliance with the requirement technology. Written comments should each community articulates goals,
of Section 3506(c)(2)(A) of the be received within 60 days of this objectives, and related activities; tracks
Paperwork Reduction Act of 1995 for notice. whether goals and objectives are met,
opportunity for public comment on ongoing, or revised; and evaluates all
proposed data collection projects, the Proposed Project program activities. This information
Centers for Disease Control and Racial and Ethnic Approaches to will then be entered into the REACH
Prevention (CDC) will publish periodic Community Health across the U.S. Management Information System
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summaries of proposed projects. To (REACH US) Management Information (REACH MIS). REACH MIS is a
request more information on the System (MIS)—New—National Center customized internet-based support
proposed projects or to obtain a copy of for Chronic Disease Prevention and system that allows REACH grantees to
the data collection plans and Health Promotion (NCCDPHP), Centers perform remote data entry and retrieval
instruments, call 404–639–5960 and for Disease Control and Prevention of data. The contract for our current
send comments to Joan Karr, CDC (CDC). Information Network (REACH IN), OMB

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