80 FR 54286 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 174 (September 9, 2015)

[Federal Register Volume 80, Number 174 (Wednesday, September 9, 2015)]
[Notices]
[Pages 54286-54287]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22672]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-15-15ANC]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
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; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) 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 submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Written comments and/or 
suggestions regarding the items contained in this notice should be 
directed to the Attention: CDC Desk Officer, Office of Management and 
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written 
comments should be received within 30 days of this notice.

Proposed Project

    Formative and Summative Evaluation of the National Diabetes 
Prevention Program--Existing Collection Without an OMB Control Number--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Findings from randomized controlled trials and translation studies 
have demonstrated that type 2 diabetes can be prevented or delayed in 
those at high risk through a structured lifestyle intervention that can 
be delivered cost effectively in real-world settings. However, several 
challenges must be addressed to achieve large-scale adoption and 
implementation of these evidence-based lifestyle change programs.
    In response to these challenges, Congress authorized the CDC to 
establish and lead the National Diabetes Prevention Program (National 
DPP). CDC developed a year-long, evidence-based lifestyle change 
program aimed at increasing knowledge and awareness of healthy eating 
and physical activity among people at-risk for diabetes. In order to 
bring this compelling intervention to communities across America, CDC 
funded six grantees under Funding Opportunity Number: DP12-1212PPHF12 
to establish and expand ``a network of structured, evidence-based 
lifestyle change programs designed to prevent type 2 diabetes among 
people at high risk''.

[[Page 54287]]

    The six National DPP grantees offer the program consistent with the 
CDC's Diabetes Prevention Recognition Program (DPRP) Standards. The 
National DPP grantees deliver the intervention through an estimated 110 
sites. Grantees are responsible for scaling and sustaining the National 
DPP by:
     Increasing the number of delivery sites,
     developing delivery sites' capacity to obtain and maintain 
DPRP recognition,
     gaining sustainable support for delivery sites from 
insurance companies in the form of reimbursement, and
     actively educating employers and insurance companies about 
the cost effectiveness of including the lifestyle change program as a 
covered health benefit and reimbursing delivery sites on a pay-for-
performance basis.
    CDC proposes to assess program implementation among National DPP 
grantees using Excel data collection spreadsheets. This assessment/
spreadsheet process is the formative and summative evaluation of the 
six grantees, and is just one of the several evaluations of National 
DPP activities; others include the DPRP Standards' measures and Program 
and Grants Office (PGO) annual grantee progress reports provided to CDC 
project officers.
    The objective of this formative and summative evaluation of the 
National DPP is to collect additional information to identify program-
level factors leading to successful implementation and best practices 
for achieving program sustainability and scalability at the community 
level. Informing the assessment (i.e., the Excel data collection 
spreadsheet) is the Reach, Effectiveness, Adoption, Implementation, and 
Maintenance (RE-AIM) framework that National DPP grantees were provided 
as part of their funding opportunity announcement in 2012. The RE-AIM 
framework identifies pertinent questions around process and outcome 
measures that the Excel data collection spreadsheets are designed to 
answer.
    CDC plans to distribute Excel data collection spreadsheets to all 
six grantees, who will, in turn, disseminate the spreadsheets to their 
community-level intervention sites. The estimated annualized number of 
intervention sites is 120.
    Program coordinators at each intervention site will be asked to 
describe their intervention, identify barriers and facilitators to 
implementation, and identify resources used to deliver the lifestyle 
change programs via a site-level spreadsheet. Project directors and 
managers at the grantee organizations will be asked similar questions 
about resource use and implementation strategies via a grantee-level 
spreadsheet, but will also be asked to discuss elements related to the 
reach of their National DPP programs. CDC will use the information 
gained from the assessment to discern lessons learned and effective 
strategies around (1) expanding the reach and sustainability of the 
National DPP lifestyle change programs, (2) improving recruitment and 
retention efforts, (3) increasing referrals, and (4) securing sustained 
commitment among insurance providers and employers to either reimburse 
organizations providing the program or providing an employee benefit 
option for the program so it is accessible to individuals most in need 
of this intervention. Finally, CDC will use the information to inform 
the development of data-driven technical assistance for National DPP 
grantees and their intervention sites.
    The estimated time burden per site for completion of a site-level 
spreadsheet is between 30 and 60 minutes, with an average of 45 minutes 
per spreadsheet per year. The estimated burden for a grantee is up to 
12 hours to complete a grantee-level spreadsheet. This includes 
coordinating the collection of spreadsheets from their respective 
sites. Collectively, over the three-year clearance period being 
requested, the total burden estimate is based on 120 annualized 
responses from National DPP Intervention Sites (110 + 120 + 130/3) and 
6 annualized responses from National DPP Grantees (6 + 6 + 6/3). OMB 
approval is requested for 3 years. All information will be collected 
electronically. Participation is voluntary and there are no costs to 
respondents other than their time.
    The total estimated annualized burden hours are 162.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
        Type of respondents                   Form name             respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
National DPP Intervention Sites....  Spreadsheet for National                120               1           45/60
                                      DPP Intervention Sites.
National DPP Grantees..............  Spreadsheet for National                  6               1              12
                                      DPP Grantees.
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-22672 Filed 9-8-15; 8:45 am]
 BILLING CODE 4163-18-P