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52334 Federal Register / Vol. 71, No.

171 / Tuesday, September 5, 2006 / Notices

findings is to ‘‘be submitted to the ‘‘tweens’’ (ages 9–13) and parents of All focus group recruiting will
appropriate Committees of jurisdiction tweens; Phase 2 will focus on children incorporate appropriate representation
of Congress.’’ 6–8 years old and their parents, and of diverse ethnic groups, and the groups
In response, CDC has contracted with Phase 3 will conduct groups with will be held in several cities to ensure
the Academy for Educational parents of children under 6 years old. broad geographic representation.
Development (AED) to conduct focus Current literature and opinion leaders Participants will be recruited by focus
groups to identify key audience both strongly suggest that tweens greatly group facilities utilizing their database
concepts around food choices, and influence their parents’ and younger to solicit and screen interested parties.
develop and test concepts and messages siblings’ nutritional decisions. The screening process will include two
aimed at increasing healthy food calls for every successful recruit, each
choices among children. For the For each phase, 36 focus groups will
be conducted; thus, three phases will taking approximately 5 minutes. Each
research to be useful to Congress and to
amount to 108 total focus groups. In focus group will be asked to respond
the nation’s public health agenda, a
thorough understanding of children at Phases 1 and 2, focus groups will verbally. The moderator will utilize a
different developmental stages regarding involve both youth and their parents or prepared guide which is designed to
their attitudes toward healthy food key caregivers. In this way, CDC can specifically ensure that the discussion is
choices, and the barriers and gain insight into both parents’ and limited to 2 hours.
motivations for adopting and sustaining children’s views and family shared The intent of this research is to solicit
these choices is essential. Additionally, decision-making associated with food input and feedback from potential
a thorough understanding of parents choices and attitudes toward healthy audiences. The information gathered
who can influence the health behaviors eating patterns. For Phase 3, 36 focus will be used to develop, refine, and
of children is important. This groups about the toddler/young child modify messages and strategies to
understanding will facilitate the set (ages 1–5) will be held with their increase healthy food choices by
development of messages, strategies, parents and other important influencers children and parents. There is no cost
and tactics that resonate with children, such as educators, primary caregivers, to respondents other than their time to
parents, and other influencers. health care providers. (See chart below participate in the survey.
The focus groups will be conducted in for specifics on structure and related
three phases: Phase One will address burden.) Estimated Annualized Burden Hours

Average
No. of
No. of burden per re- Total burden
Respondents responses per
respondents sponse (in (hours)
respondent hours)

Phase 1: Recruitment ...................................................................................... 528 1 10/60 88


Phase 1: Tweens (ages 9–13); ....................................................................... 264 1 2 528
Phase 1: Parents of tweens; ........................................................................... 120 1 2 240
Phase 2: Recruitment ...................................................................................... 528 1 10/60 88
Phase 2: Elementary aged children (ages 5–8); ............................................. 264 1 2 528
Phase 2: Parents of elementary aged children ............................................... 120 1 2 240
Phase 3: Recruitment ...................................................................................... 720 1 10/60 120
Phase 3: Parents of preschoolers (ages 1–4); ................................................ 360 1 2 720

Total .......................................................................................................... 2552

Dated: August 28, 2006. Centers for Disease Control and on respondents, including through the
Joan F. Karr, Prevention (CDC) will publish periodic use of automated collection techniques
Acting Reports Clearance Officer, Centers for summaries of proposed projects. To or other forms of information
Disease Control and Prevention. request more information on the technology. Written comments should
[FR Doc. E6–14620 Filed 9–1–06; 8:45 am] proposed projects or to obtain a copy of be received within 60 days of this
BILLING CODE 4163–18–P the data collection plans and notice.
instruments, call 404–639–5960 and
Proposed Project
send comments to Seleda Perryman,
DEPARTMENT OF HEALTH AND CDC Assistant Reports Clearance Evaluation of an Intervention to
HUMAN SERVICES Officer, 1600 Clifton Road, MS–D74, Increase Colorectal Cancer Screening in
Atlanta, GA 30333 or send an e-mail to Primary Care Clinics—New—National
Centers for Disease Control and omb@cdc.gov. Center for Chronic Disease Prevention
Prevention Comments are invited on: (a) Whether and Health Promotion (NCCDPHP),
the proposed collection of information Centers for Disease Control and
[60Day–06–0398x] is necessary for the proper performance Prevention (CDC).
Proposed Data Collections Submitted of the functions of the agency, including Background and Brief Description
for Public Comment and whether the information shall have
Recommendations practical utility; (b) the accuracy of the Colorectal cancer (CRC) is the third
agency’s estimate of the burden of the most frequent form of cancer and the
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In compliance with the requirement proposed collection of information; (c) second leading cause of cancer-related
of Section 3506(c)(2)(A) of the ways to enhance the quality, utility, and deaths among both men and women in
Paperwork Reduction Act of 1995 for clarity of the information to be the United States. Research shows that
opportunity for public comment on collected; and (d) ways to minimize the screening can reduce both the
proposed data collection projects, the burden of the collection of information occurrence of colorectal cancer and

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Federal Register / Vol. 71, No. 171 / Tuesday, September 5, 2006 / Notices 52335

colorectal cancer deaths. Screening is screening rates in primary care clinics. complete a survey assessing
beneficial for: (1) Detection and removal The study will also examine the effects demographics, work-related
of precancerous polyps, resulting in of the intervention conditions on responsibilities, opinions about
patients recovering without progression behavioral outcomes (e.g., clinician- preventive services, CRC training and
to a diagnosis of cancer, and (2) early patient discussions about CRC practices, satisfaction with CRC
detection of CRC for more effective screening) and on attitudes, beliefs, screening, and CRC screening beliefs,
treatment and improved survival. opinions, and social influence facilitators and barriers. The survey will
Regular CRC screening is recommended surrounding CRC screening among be administered to clinic support staff
for people aged 50 years and older. patients. The target population includes post intervention. In Task 3, clinic
Many screening tests are widely average-risk patients aged 50–80 years, patients will complete a survey
available and screening has been shown clinicians, and clinic support staff assessing demographics, health status,
to be effective in reducing CRC receipt of previous CRC screening and
within the primary care clinics in two
mortality. Despite this demonstrated other preventive services, knowledge
managed care organizations (MCOs).
effectiveness, CRC screening remains and opinions about CRC and CRC
low. Some reasons attributed to the low There are three tasks in this study. In
screening, and social support. The
screening rates include limited public Task 1, 140 primary care clinicians will
survey will be administered to 3307
awareness of CRC and the benefits of complete a survey assessing
patients pre-intervention and 3307
screening, failure of health care demographics, opinions about
patients post-intervention. Of these, 972
providers to recommend screening to preventive services, CRC screening patients will receive both the pre- and
patients, and inefficient surveillance training and practices, satisfaction with post-intervention survey.
and support systems in many health CRC screening, and CRC screening
beliefs, facilitators, and barriers. The There are no costs to respondents
care settings. except their time to participate in the
The purpose of this one-time study is survey will be administered to primary
survey.
to evaluate and understand the effect of care clinicians post-intervention. In
a multi-component intervention on CRC Task 2, 140 clinic support staff will Estimated Annualized Burden Hours

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

Clinicians .......................................................................................................... 140 1 30/60 70


Clinic Support Staff .......................................................................................... 140 1 25/60 58
Patients surveyed only at baseline .................................................................. 2335 1 20/60 788
Patients surveyed at baseline and follow-up ................................................... 972 2 20/60 648
Patients surveyed only at follow-up ................................................................. 2335 1 20/60 788

Totals ........................................................................................................ ........................ ........................ ........................ 2352

Dated: August 28, 2006. Forks, North Dakota 58203; Holiday Inn an overview of the Rural Assistance Center
Joan F. Karr, Grand Forks, 1210 N 43rd Street, Grand by Kristine Sande. The final session of the
Acting Reports Clearance Officer, Centers for Forks, North Dakota 58203; Spirit Lake day will be a discussion on the purpose of
Disease Control and Prevention. Casino and Resort, 7889 Highway 57, St. the site visits and future agenda setting led
Michael, North Dakota 58370, Phone: 701– by the Honorable David Beasley and Tom
[FR Doc. E6–14622 Filed 9–1–06; 8:45 am] 766–4747. Morris, Committee Executive Secretary. The
BILLING CODE 4163–18–P Status: The meeting will be open to the Thursday meeting will close at 5:30 p.m.
public. Friday morning, September 29, at 8:30
Purpose: The National Advisory a.m., the Committee will convene at the
DEPARTMENT OF HEALTH AND Committee on Rural Health and Human Holiday Inn Grand Forks, Grand Forks, North
HUMAN SERVICES Services provides advice and Dakota. The meeting will begin with an
recommendations to the Secretary with explanation of the day and an overview of
Health Resources and Services respect to the delivery, research, the site visits. At 9 a.m., the Committee will
Administration development and administration of health break into subcommittee format for the site
and human services in rural areas. visits. At 9:15 a.m., the Medicare Advantage
National Advisory Committee on Rural Agenda: Thursday afternoon, September Subcommittee will depart for Mercy Hospital
Health and Human Services; Notice of 28, at 2 p.m., a press conference with be held in Devils Lake, North Dakota. Also, at 9:15
Meeting with the Chairperson of the Committee, the a.m., the Head Start Subcommittee will
Honorable David Beasley. The meeting will depart for the Early Explorers Head Start
In accordance with section 10(a)(2) of begin at 2:30 p.m., at the University of North Program in Devils Lake, North Dakota. The
the Federal Advisory Committee Act Dakota, with opening remarks by the Substance Abuse Subcommittee will depart
(Pub. L. 92–463), notice is hereby given Honorable David Beasley. Introductions will for the Center for Solutions, Towner County
that the following committee will be made by Mary Wakefield, Associate Dean Medical Center in Cando, North Dakota, at
for Rural Health and Director of the Center 9:30 a.m. Transportation to these sites will
convene its fifty-second meeting. for Rural Health at the University of North not be provided. The Subcommittees will
Name: National Advisory Committee on Dakota and Charles Kupchella, President of return to Spirit Lake Casino and Resort in St.
Rural Health and Human Services. the University of North Dakota. This will be Michael, North Dakota, for the remainder of
sroberts on PROD1PC70 with NOTICES

Dates and Times: September 28, 2006, 2 followed by a brief history of North Dakota the meeting. The Subcommittees will meet at
p.m.–5:30 p.m.; September 29, 2006, 8:30 by Mike Jacobs (invited speaker), editor of 2:15 p.m. to discuss the site visits. The
a.m.–4:30 p.m.; September 30, 2006, 9 a.m.– the Grand Forks Herald, and an overview of Committee of the whole will reconvene at
10:30 a.m. rural health innovation by Bruce Gjovig with 3:30 p.m. for a discussion of the 2007 report
Place: Center for Rural Health, University the Center for Innovation and Rural topics. The Friday meeting will close at 4:30
of North Dakota, 501 N. Columbia Rd., Grand Technology Center. The next session will be p.m.

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