81_FR_18692 81 FR 18630 - Proposed Data Collection Submitted for Public Comment and Recommendations

81 FR 18630 - Proposed Data Collection Submitted for Public Comment and Recommendations

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

Federal Register Volume 81, Issue 62 (March 31, 2016)

Page Range18630-18631
FR Document2016-07226

The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a newly proposed information collection project entitled ``Practice Patterns Related to Opioid Use During Pregnancy and Lactation''. CDC seeks to collect data for the purpose of assessing obstetrician-gynecologists' knowledge, attitudes, and practices regarding screening for and treatment of maternal opioid use surrounding the time of pregnancy. CDC will need a one-year clearance from the Office of Management and Budget (OMB) to collect the necessary data.

Federal Register, Volume 81 Issue 62 (Thursday, March 31, 2016)
[Federal Register Volume 81, Number 62 (Thursday, March 31, 2016)]
[Notices]
[Pages 18630-18631]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-07226]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-16-16XD; Docket No. CDC-2016-0034]


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 efforts to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to take this opportunity to comment on proposed and/or 
continuing information collections, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a newly proposed 
information collection project entitled ``Practice Patterns Related to 
Opioid Use During Pregnancy and Lactation''. CDC seeks to collect data 
for the purpose of assessing obstetrician-gynecologists' knowledge, 
attitudes, and practices regarding screening for and treatment of 
maternal opioid use surrounding the time of pregnancy. CDC will need a 
one-year clearance from the Office of Management and Budget (OMB) to 
collect the necessary data.

DATES: Written comments must be received on or before May 31, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0034 by any of the following methods:
    Federal eRulemaking Portal: Regulation.gov. Follow the instructions 
for submitting comments.
    Mail: Leroy A. Richardson, Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note: All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) 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 the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].

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 OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services 
to provide information. Burden means the total time, effort, or 
financial resources expended by persons to generate, maintain, retain, 
disclose or provide information to or for a Federal agency. This 
includes the time needed to review instructions; to develop, acquire, 
install and utilize technology and systems for the purpose of 
collecting, validating and verifying information, processing and 
maintaining information, and disclosing and providing information; to 
train personnel and to be able to respond to a collection of 
information, to search data sources, to complete and review the 
collection of information; and to transmit or otherwise disclose the 
information.

Proposed Project

    Practice Patterns Related to Opioid Use During Pregnancy and 
Lactation--New--National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    Over the past decade, the prevalence of maternal opioid use during 
pregnancy has steadily increased. The use of opioids or other 
psychoactive substances, either by illicit abuse or by nonmedical abuse 
of prescription opioids, increases the risks for health and social 
problems for both mother and infant. For example, maternal substance 
abuse during pregnancy increases the risk of preterm birth, low birth 
weight, perinatal death, and neonatal abstinence syndrome (NAS). For 
many women, and some at-risk women in particular, prenatal visits may 
be the only time they routinely see a physician. Because obstetrician-
gynecologists (OB/GYNs) are the principal health care providers for 
women, OB/GYNs are well situated to screen for substance use and to 
treat or encourage cessation of substance use during pregnancy. Thus, 
it is important to understand current provider knowledge, attitudes, 
and practices regarding maternal opioid use.
    CDC, in collaboration with the American College of Obstetricians 
and Gynecologists (ACOG), plans to conduct a survey to address this gap 
in knowledge. Survey respondents will be ACOG Fellows and Junior 
Fellows who have a current medical license and are in medical practice 
focused on women's health. ACOG is separated into 11 districts, one of 
which represents OB/GYN members who are in the U.S. military. The 
remaining 10 ACOG districts correspond to geographic regions that 
encompass the entire United States and Canada. Survey invitations will 
be sent to a quasi-random sample of ACOG members in each district.
    CDC and ACOG estimate that 1,500 individuals will be contacted in 
order to obtain a study target of 600 respondents. The initial 
invitation will be distributed by email with instructions on completing 
a web-based version of the questionnaire. Three to four months after 
the initial invitation, a paper version of the questionnaire will be

[[Page 18631]]

distributed to individuals who have not completed the online version. 
The estimated number of respondents for the full web-based or paper 
questionnaire is 420 and the estimated burden per response is 15 
minutes. Approximately six weeks after the second recruitment attempt, 
ACOG will distribute a short version of the questionnaire to any non-
responders. The estimated number of responses for the short version of 
the questionnaire is 180 and the estimated burden per response is 5 
minutes. An overall 40% response rate is expected.
    The survey will collect information about provider attitudes and 
beliefs regarding maternal opioid use, their screening and referral 
practices for pregnant or postpartum patients, barriers to screening 
and treating pregnant and postpartum patients for opioid use, and 
resources that are needed to improve treatment and referral.
    No information will be collected about individual patients. Survey 
administration and data management will be conducted by ACOG, and 
participation is voluntary. De-identified response data will be shared 
with CDC for analysis.
    Findings will be used to create recommendations for educational 
programs and patient care. There are no costs to participants other 
than their time.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                             Number of       Number of      burden per     Total burden
              Type of respondents                               Form name                   respondents    responses per   response (in     (in hours)
                                                                                                            respondent        hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
OB/GYNs caring for pregnant women..............  Practice Patterns Related to Opioid Use             420               1           15/60             105
                                                  During Pregnancy and Lactation.
                                                 Practice Patterns Related to Opioid Use             180               1            5/60              15
                                                  During Pregnancy and Lactation (short
                                                  version).
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............             120
--------------------------------------------------------------------------------------------------------------------------------------------------------


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. 2016-07226 Filed 3-30-16; 8:45 am]
BILLING CODE 4163-18-P



                                                  18630                        Federal Register / Vol. 81, No. 62 / Thursday, March 31, 2016 / Notices

                                                    Dated: March 24, 2016.                                personal information provided. For                    and providing information; to train
                                                  John Hofmann,                                           access to the docket to read background               personnel and to be able to respond to
                                                  Division Director, Facilities Management &              documents or comments received, go to                 a collection of information, to search
                                                  Services Programs Division, General Services            Regulations.gov.                                      data sources, to complete and review
                                                  Administration, Mid-Atlantic Region.                      Please note: All public comment should be           the collection of information; and to
                                                  [FR Doc. 2016–07161 Filed 3–30–16; 8:45 am]             submitted through the Federal eRulemaking             transmit or otherwise disclose the
                                                  BILLING CODE 6820–89–P                                  portal (Regulations.gov) or by U.S. mail to the       information.
                                                                                                          address listed above.
                                                                                                                                                                Proposed Project
                                                                                                          FOR FURTHER INFORMATION CONTACT:              To        Practice Patterns Related to Opioid
                                                  DEPARTMENT OF HEALTH AND                                request more information on the                       Use During Pregnancy and Lactation—
                                                  HUMAN SERVICES                                          proposed project or to obtain a copy of               New—National Center for Chronic
                                                                                                          the information collection plan and                   Disease Prevention and Health
                                                  Centers for Disease Control and                         instruments, contact the Information
                                                  Prevention                                                                                                    Promotion (NCCDPHP), Centers for
                                                                                                          Collection Review Office, Centers for                 Disease Control and Prevention (CDC).
                                                  [60 Day–16–16XD; Docket No. CDC–2016–                   Disease Control and Prevention, 1600
                                                  0034]                                                   Clifton Road NE., MS–D74, Atlanta,                    Background and Brief Description
                                                                                                          Georgia 30329; phone: 404–639–7570;                      Over the past decade, the prevalence
                                                  Proposed Data Collection Submitted                      Email: omb@cdc.gov.                                   of maternal opioid use during
                                                  for Public Comment and                                  SUPPLEMENTARY INFORMATION: Under the                  pregnancy has steadily increased. The
                                                  Recommendations                                         Paperwork Reduction Act of 1995 (PRA)                 use of opioids or other psychoactive
                                                                                                          (44 U.S.C. 3501–3520), Federal agencies               substances, either by illicit abuse or by
                                                  AGENCY: Centers for Disease Control and
                                                                                                          must obtain approval from the Office of               nonmedical abuse of prescription
                                                  Prevention (CDC), Department of Health
                                                                                                          Management and Budget (OMB) for each                  opioids, increases the risks for health
                                                  and Human Services (HHS).
                                                                                                          collection of information they conduct                and social problems for both mother and
                                                  ACTION: Notice with comment period.                     or sponsor. In addition, the PRA also                 infant. For example, maternal substance
                                                  SUMMARY:    The Centers for Disease                     requires Federal agencies to provide a                abuse during pregnancy increases the
                                                  Control and Prevention (CDC), as part of                60-day notice in the Federal Register                 risk of preterm birth, low birth weight,
                                                  its continuing efforts to reduce public                 concerning each proposed collection of                perinatal death, and neonatal abstinence
                                                                                                          information, including each new                       syndrome (NAS). For many women, and
                                                  burden and maximize the utility of
                                                                                                          proposed collection, each proposed                    some at-risk women in particular,
                                                  government information, invites the
                                                                                                          extension of existing collection of                   prenatal visits may be the only time
                                                  general public and other Federal
                                                                                                          information, and each reinstatement of                they routinely see a physician. Because
                                                  agencies to take this opportunity to
                                                                                                          previously approved information                       obstetrician-gynecologists (OB/GYNs)
                                                  comment on proposed and/or
                                                                                                          collection before submitting the                      are the principal health care providers
                                                  continuing information collections, as
                                                                                                          collection to OMB for approval. To                    for women, OB/GYNs are well situated
                                                  required by the Paperwork Reduction
                                                                                                          comply with this requirement, we are                  to screen for substance use and to treat
                                                  Act of 1995. This notice invites
                                                                                                          publishing this notice of a proposed                  or encourage cessation of substance use
                                                  comment on a newly proposed
                                                                                                          data collection as described below.                   during pregnancy. Thus, it is important
                                                  information collection project entitled                    Comments are invited on: (a) Whether
                                                  ‘‘Practice Patterns Related to Opioid Use                                                                     to understand current provider
                                                                                                          the proposed collection of information                knowledge, attitudes, and practices
                                                  During Pregnancy and Lactation’’. CDC                   is necessary for the proper performance
                                                  seeks to collect data for the purpose of                                                                      regarding maternal opioid use.
                                                                                                          of the functions of the agency, including                CDC, in collaboration with the
                                                  assessing obstetrician-gynecologists’                   whether the information shall have                    American College of Obstetricians and
                                                  knowledge, attitudes, and practices                     practical utility; (b) the accuracy of the            Gynecologists (ACOG), plans to conduct
                                                  regarding screening for and treatment of                agency’s estimate of the burden of the                a survey to address this gap in
                                                  maternal opioid use surrounding the                     proposed collection of information; (c)               knowledge. Survey respondents will be
                                                  time of pregnancy. CDC will need a one-                 ways to enhance the quality, utility, and             ACOG Fellows and Junior Fellows who
                                                  year clearance from the Office of                       clarity of the information to be                      have a current medical license and are
                                                  Management and Budget (OMB) to                          collected; (d) ways to minimize the                   in medical practice focused on women’s
                                                  collect the necessary data.                             burden of the collection of information               health. ACOG is separated into 11
                                                  DATES: Written comments must be                         on respondents, including through the                 districts, one of which represents OB/
                                                  received on or before May 31, 2016.                     use of automated collection techniques                GYN members who are in the U.S.
                                                  ADDRESSES: You may submit comments,                     or other forms of information                         military. The remaining 10 ACOG
                                                  identified by Docket No. CDC–2016–                      technology; and (e) estimates of capital              districts correspond to geographic
                                                  0034 by any of the following methods:                   or start-up costs and costs of operation,             regions that encompass the entire
                                                     Federal eRulemaking Portal:                          maintenance, and purchase of services                 United States and Canada. Survey
                                                  Regulation.gov. Follow the instructions                 to provide information. Burden means                  invitations will be sent to a quasi-
                                                  for submitting comments.                                the total time, effort, or financial                  random sample of ACOG members in
                                                     Mail: Leroy A. Richardson,                           resources expended by persons to                      each district.
                                                  Information Collection Review Office,                   generate, maintain, retain, disclose or                  CDC and ACOG estimate that 1,500
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                                                  Centers for Disease Control and                         provide information to or for a Federal               individuals will be contacted in order to
                                                  Prevention, 1600 Clifton Road NE., MS–                  agency. This includes the time needed                 obtain a study target of 600 respondents.
                                                  D74, Atlanta, Georgia 30329.                            to review instructions; to develop,                   The initial invitation will be distributed
                                                     Instructions: All submissions received               acquire, install and utilize technology               by email with instructions on
                                                  must include the agency name and                        and systems for the purpose of                        completing a web-based version of the
                                                  Docket Number. All relevant comments                    collecting, validating and verifying                  questionnaire. Three to four months
                                                  received will be posted without change                  information, processing and                           after the initial invitation, a paper
                                                  to Regulations.gov, including any                       maintaining information, and disclosing               version of the questionnaire will be


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                                                                                        Federal Register / Vol. 81, No. 62 / Thursday, March 31, 2016 / Notices                                                                                                18631

                                                  distributed to individuals who have not                                 burden per response is 5 minutes. An                                            No information will be collected
                                                  completed the online version. The                                       overall 40% response rate is expected.                                        about individual patients. Survey
                                                  estimated number of respondents for the                                   The survey will collect information                                         administration and data management
                                                  full web-based or paper questionnaire is                                about provider attitudes and beliefs                                          will be conducted by ACOG, and
                                                  420 and the estimated burden per                                        regarding maternal opioid use, their                                          participation is voluntary. De-identified
                                                  response is 15 minutes. Approximately                                   screening and referral practices for                                          response data will be shared with CDC
                                                  six weeks after the second recruitment                                  pregnant or postpartum patients,                                              for analysis.
                                                  attempt, ACOG will distribute a short                                   barriers to screening and treating                                              Findings will be used to create
                                                  version of the questionnaire to any non-                                pregnant and postpartum patients for                                          recommendations for educational
                                                  responders. The estimated number of                                     opioid use, and resources that are                                            programs and patient care. There are no
                                                  responses for the short version of the                                  needed to improve treatment and                                               costs to participants other than their
                                                  questionnaire is 180 and the estimated                                  referral.                                                                     time.

                                                                                                                         ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                    Average
                                                                                                                                                                                                      Number of
                                                                                                                                                                           Number of                                              burden per              Total burden
                                                     Type of respondents                                             Form name                                                                      responses per
                                                                                                                                                                          respondents                                              response                (in hours)
                                                                                                                                                                                                      respondent                   (in hours)

                                                  OB/GYNs caring for                    Practice Patterns           Related to Opioid Use During                                           420                            1                  15/60                 105
                                                   pregnant women.                        Pregnancy and             Lactation.
                                                                                        Practice Patterns           Related to Opioid Use During                                           180                            1                    5/60                 15
                                                                                          Pregnancy and             Lactation (short version).

                                                       Total ........................   ..............................................................................   ........................   ........................   ........................            120



                                                  Leroy A. Richardson,                                                    burden of the proposed collection of                                          project assigned OMB Control Number
                                                  Chief, Information Collection Review Office,                            information, including the validity of                                        0920–1074, formerly entitled ‘‘Annual
                                                  Office of Scientific Integrity, Office of the                           the methodology and assumptions used;                                         Survey of Colorectal Cancer Control
                                                  Associate Director for Science, Office of the                           (c) Enhance the quality, utility, and                                         Activities Conducted by States and
                                                  Director, Centers for Disease Control and                               clarity of the information to be                                              Tribal Organizations.’’ In the previous
                                                  Prevention.                                                             collected; (d) Minimize the burden of                                         OMB approval period, information
                                                  [FR Doc. 2016–07226 Filed 3–30–16; 8:45 am]                             the collection of information on those                                        collection consisted of an annual
                                                  BILLING CODE 4163–18–P                                                  who are to respond, including through                                         grantee survey. In the next OMB
                                                                                                                          the use of appropriate automated,                                             approval period, information collection
                                                                                                                          electronic, mechanical, or other                                              will consist of a redesigned survey and
                                                  DEPARTMENT OF HEALTH AND                                                technological collection techniques or                                        a new clinic-level information
                                                  HUMAN SERVICES                                                          other forms of information technology,                                        collection. The number of respondents
                                                                                                                          e.g., permitting electronic submission of                                     will increase and the total estimated
                                                  Centers for Disease Control and                                         responses; and (e) Assess information                                         annualized burden will increase.
                                                  Prevention                                                              collection costs.                                                                Among cancers that affect both men
                                                                                                                             To request additional information on                                       and women, colorectal cancer (CRC) is
                                                  [30 Day–16–1074]
                                                                                                                          the proposed project or to obtain a copy                                      the second leading cause of death from
                                                  Agency Forms Undergoing Paperwork                                       of the information collection plan and                                        cancer in the United States. CRC
                                                  Reduction Act Review                                                    instruments, call (404) 639–7570 or                                           screening has been shown to reduce
                                                                                                                          send an email to omb@cdc.gov. Written                                         incidence of and death from the disease.
                                                     The Centers for Disease Control and                                  comments and/or suggestions regarding                                         Screening for CRC can detect disease
                                                  Prevention (CDC) has submitted the                                      the items contained in this notice                                            early when treatment is more effective
                                                  following information collection request                                should be directed to the Attention:                                          and prevent cancer by finding and
                                                  to the Office of Management and Budget                                  CDC Desk Officer, Office of Management                                        removing precancerous polyps. Of
                                                  (OMB) for review and approval in                                        and Budget, Washington, DC 20503 or                                           individuals diagnosed with early stage
                                                  accordance with the Paperwork                                           by fax to (202) 395–5806. Written                                             CRC, more than 90% live five or more
                                                  Reduction Act of 1995. The notice for                                   comments should be received within 30                                         years. Despite strong evidence
                                                  the proposed information collection is                                  days of this notice.                                                          supporting screening, only 65% of
                                                  published to obtain comments from the                                                                                                                 adults currently report being up-to-date
                                                                                                                          Proposed Project
                                                  public and affected agencies.                                                                                                                         with CRC screening as recommended by
                                                     Written comments and suggestions                                     Colorectal Cancer Control Program                                             the U.S. Preventive Services Task Force,
                                                  from the public and affected agencies                                   (CRCCP) Monitoring Activities                                                 with more than 22 million age-eligible
                                                  concerning the proposed collection of                                   —Reinstatement with Change (OMB No.                                           adults estimated to be untested. To
                                                  information are encouraged. Your                                          0920–1074, exp. 12/31/2015)                                                 reduce CRC morbidity, mortality, and
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  comments should address any of the                                      —National Center for Chronic Disease                                          associated costs, use of CRC screening
                                                  following: (a) Evaluate whether the                                       Prevention and Health Promotion                                             tests must be increased among age-
                                                  proposed collection of information is                                     (NCCDPHP), Centers for Disease                                              eligible adults with the lowest CRC
                                                  necessary for the proper performance of                                   Control and Prevention (CDC).                                               screening rates.
                                                  the functions of the agency, including                                                                                                                   CDC’s Colorectal Cancer Control
                                                  whether the information will have                                       Background and Brief Description                                              Program (CRCCP) currently provides
                                                  practical utility; (b) Evaluate the                                       CDC is requesting a reinstatement                                           funding to 31 grantees under
                                                  accuracy of the agencies estimate of the                                with change of the information collect                                        ‘‘Organized Approaches to Increase


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Document Created: 2016-03-31 00:56:06
Document Modified: 2016-03-31 00:56:06
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice with comment period.
DatesWritten comments must be received on or before May 31, 2016.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS- D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation81 FR 18630 

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