[Federal Register: July 24, 2008 (Volume 73, Number 143)]
[Notices]               
[Page 43240-43241]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr24jy08-73]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-08-07BE]

 
Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-4766 or send an e-mail 
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Research to Reduce Time to Treatment for Heart Attack/Myocardial 
Infarction for Rural American Indians/Alaska Natives (AI/AN)--New--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Every year, approximately 1.1 million Americans have a first or 
recurrent heart attack/myocardial infarction (MI) and about one third 
of these will be fatal. Early recognition of MI by both the victim and 
bystanders followed by prompt cardiac emergency and advanced care has a 
direct effect on patient outcomes; the shorter the delay to treatment, 
the better the outcomes. Research indicates that public recognition of 
major MI symptoms, and the need for immediate action by calling 9-1-1, 
is poor and that patient delay accounts for most of the lag in

[[Page 43241]]

treatment. Additional data from the National MI Registry suggest that 
the greatest disparity for time to treatment exists among racial and 
ethnic minorities and that the American Indian/Alaska Native (AI/AN) 
group has the longest delay times.
    CDC requests OMB approval to conduct a study to address gaps in 
knowledge about MI and to develop a key health message for reducing 
time to treatment in AI/AN populations. Respondents will be recruited 
from three regions of the U.S. Information about knowledge, attitudes 
and behaviors will be collected through interviews with key informants 
including medical care providers, tribal community leaders, and 
individual AI/AN community members. In addition, more detailed 
information will be collected through extended focus group discussions 
with AI/AN community members who have experienced an MI or who are 
considered at high risk for MI.
    The information to be collected will be used to improve 
understanding of the barriers and facilitators that impact recognition 
of MI signs in AI/AN communities and decisions to seek treatment; to 
develop culturally appropriate health messages; and to identify 
effective message delivery methods. The messages will be consistent 
with those developed for the ``Act In Time'' action plan funded by HHS/
National Heart, Lung and Blood Institute/National Heart Attack Alert 
Program (HHS/NHLBI/NHAP). The overall objective is to improve MI 
outcomes in AI/AN populations.
    There are no costs to respondents other than their time. The total 
estimated annualized burden hours are 233.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of        Average
          Type of respondents                   Form name            Number of     responses per    burden (in
                                                                    respondents     respondent        hours)
----------------------------------------------------------------------------------------------------------------
Medical Providers.....................  Interest Form...........              54               1            3/60
                                        Interview Guide for                   27               1               1
                                         Providers.
Tribal Community Leaders..............  Interest Form...........              30               1            3/60
                                        Interview Guide for                   15               1           45/60
                                         Community Leaders.
Individual Tribal Community Members...  Interest Form...........             252               1            3/60
                                        Interview Guide for                  126               1           45/60
                                         Individuals.
AI/AN Community Members with Prior MI.  Interest Form...........              12               1            3/60
                                        Discussion Guide for MI                8               1               5
                                         Group.
AI/AN Community Members without Prior   Interest Form...........              12               1            3/60
 MI.
                                        Discussion Guide for non-              8               1               5
                                         MI Group.
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    Dated: July 16, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E8-16944 Filed 7-23-08; 8:45 am]

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