Notice2024-08595
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
April 23, 2024
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled REACH: Rural Re-Engagement and Care using Community Health Workers (CHWs) for Persons with HIV. This project is designed to collect standardized program evaluation data from health departments and HIV clinic partners who receive Federal funds for these activities.
Full Text
<html>
<head>
<title>Federal Register, Volume 89 Issue 79 (Tuesday, April 23, 2024)</title>
</head>
<body><pre>
[Federal Register Volume 89, Number 79 (Tuesday, April 23, 2024)]
[Notices]
[Pages 30364-30366]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-08595]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-24EP; Docket No. CDC-2024-0028]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies the opportunity to comment on a proposed and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection project titled REACH: Rural Re-Engagement and
Care using Community Health Workers (CHWs) for Persons with HIV. This
project is designed to collect standardized program evaluation data
from health departments and HIV clinic partners who receive Federal
funds for these activities.
[[Page 30365]]
DATES: CDC must receive written comments on or before June 24, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0028 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) or by U.S. mail to the address listed
above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7118;
Email: <a href="/cdn-cgi/l/email-protection#6e01030c2e0d0a0d40090118"><span class="__cf_email__" data-cfemail="3d52505f7d5e595e135a524b">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
REACH: Rural Re-Engagement and Care using CHWs for Persons with
HIV--New--National Center for HIV, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
In rural communities, people with HIV (PWH) may face challenges in
accessing consistent HIV care services. In these communities, PWH may
also experience health care provider shortages and have fewer providers
with expertise in treating HIV. Transportation challenges, where some
patients have to travel long distances for care, may also exist.
Previous studies have shown community-based or home-based delivery of
care is an effective approach to re-engage PWH back into HIV clinical
care. This strategy was studied primarily internationally with results
showing that community-based delivery of anti-retroviral treatment
(ART) significantly increased viral suppression. However, in the US,
this model, which may include home visits, has not been implemented as
part of routine treatment and care services. Community health workers
(CHWs) are frontline public health workers who are trusted members of
the community and have a uniquely close understanding of the community
served. This trusting relationship enables the CHW to serve as a
liaison between health/social services and the community. A CHW
approach was assessed as part of the EHE pilot jumpstart initiative
which found that CHWs were successful in East Baton Rouge, LA, by
facilitating access to HIV treatment for priority populations.
Additionally, the use of CHWs has been successful and cost-effective
for certain chronic health conditions, particularly when working with
low-income persons; people who are medically underserved, and racial/
ethnic minority communities to promote disease management in these
populations. This demonstration project will provide quantitative and
qualitative data on the effectiveness and implementation of a CHW home-
based approach to facilitate re-engagement in care and outreach to PWH.
The approach aims to improve retention in care and sustained viral load
suppression among PWH living in rural communities, to benefit both
individual health and reduce community-level HIV transmission. In this
demonstration project, recipients are funded to collaborate with HIV
care providers to identify PWH in rural communities not in care or not
virally suppressed and to implement a CHW-mediated model of re-
engagement to care and outreach services for PWH in rural communities.
CHWs facilitate re-engagement of PWH who are not in care and outreach
to those who are not virally suppressed to provide services that may
include ART delivery, sample collection for standard HIV laboratory
testing, transfer of self-collected specimens, as well as provide
transportation services, arranging and scheduling telehealth visits
and/or in person visits with an HIV medical provider and other
providers (mental health, primary care) and offer evidence-based
medication adherence support.
This collection of deidentified data will allow CDC to assist
health departments and their partner HIV clinics in monitoring and
evaluating their programs and to identify best practices for provision
of implementation of CHW-mediated services for re-engagement to care
and outreach for PWH in rural communities. Longitudinal person-level
data collection will occur through the clinic's electronic health
record (EHR) and a database shared between clinic and the health
department, and additional program evaluation data will be collected
through client surveys. CDC requests approval for 295 annual burden
hours for the recipients to collect, enter or upload, and report client
demographic and behavioral characteristics, client data from the EHR,
and client and provider surveys. There are no other costs to
respondents other than their time.
[[Page 30366]]
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs.) (in hrs.)
----------------------------------------------------------------------------------------------------------------
REACH Recipient Data Manager.. Electronic 5 2 8 80
Health Record
Data Form.
REACH Recipient Data Manager.. Client Info Form 5 2 2 20
REACH Clients................. Client Info Form 500 1 6/60 50
REACH Recipient/Clinic Staff.. Client Info Form 5 100 6/60 50
REACH Recipient/Clinic Staff.. Provider Info 5 10 6/60 5
Form.
REACH Clients................. Client Program 100 1 42/60 70
Evaluation
Survey.
REACH Recipient Data Manager.. Client Program 5 2 2 20
Evaluation
Survey.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 295
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2024-08595 Filed 4-22-24; 8:45 am]
BILLING CODE 4163-18-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on April 23, 2024.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.