81 FR 46678 - 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 137 (July 18, 2016)

Page Range		46678-46680
FR Document		2016-16874

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 ``Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics,'' a survey to assess dissemination and use of guidance documents about the use of contraceptives and the delivery of quality family planning services.

Federal Register, Volume 81 Issue 137 (Monday, July 18, 2016)

[Federal Register Volume 81, Number 137 (Monday, July 18, 2016)]
[Notices]
[Pages 46678-46680]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-16874]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2016-0064; 60 Day-16-0969]


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 ``Monitoring 
Changes in Attitudes and Practices among Family Planning Providers and 
Clinics,'' a survey to assess dissemination and use of guidance 
documents about the use of contraceptives and the delivery of quality 
family planning services.

DATES: Written comments must be received on or before September 16, 
2016.

[[Page 46679]]


ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0064 by any of the following methods:
    Federal eRulemaking Portal: Regulations.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

    Monitoring Changes in Attitudes and Practices among Family Planning 
Providers and Clinics (OMB No. 0920-0969, exp. 5/31/2014)--
Reinstatement with Change--National Center for Chronic Disease 
Prevention and Health Promotion (NCCDPHP), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    The Division of Reproductive Health (DRH) at the Centers for 
Disease Control and Prevention (CDC) develops and disseminates guidance 
to improve the use of contraceptives and the delivery of quality family 
planning services. The U.S. Medical Eligibility Criteria for 
Contraceptive Use (US MEC), the first national guidance on family 
planning containing evidence-based recommendations for the safe use of 
contraceptive methods for women and men with specific characteristics 
and medical conditions, was published by the CDC in June 2010. The US 
Selected Practice Recommendations for Contraceptive Use (US SPR), which 
provides guidance on how to use contraceptive methods safely and 
effectively once they are deemed to be medically appropriate, was 
published by the CDC in June 2013. Providing Quality Family Planning 
Services (QFP), which provides evidence-informed recommendations to 
improve client care and service delivery infrastructure to support the 
provision of quality family planning services to women and men of 
reproductive age in the United States, was published by CDC and the 
Office of Population Affairs (OPA) in April 2014. The US MEC, US SPR, 
and QFP have been widely disseminated to health care providers and 
other constituents via professional organizations, federal program 
grantees, scientific and programmatic meetings, scientific manuscripts, 
online resources, and other avenues.
    In 2009-2010, CDC collected baseline information related to 
diffusion and use of the US MEC (OMB No. 0920-0008). In 2013-2014, CDC 
collected follow-up information related to the US MEC and baseline 
information related to the US SPR and QFP (OMB No. 0920-0969). These 
information collections provided useful knowledge about differences in 
attitudes and practices of family planning providers based on varying 
levels of key demographic characteristics (e.g., years since completion 
of formal health care training), and identification of attitudes not 
consistent with current scientific evidence (e.g., misconceptions that 
intrauterine devices are not safe for adolescents or nulliparous 
women). CDC used findings to develop educational materials and 
opportunities for health care providers.
    In 2017, in collaboration with the HHS Office of Population Affairs 
(OPA), CDC plans to request a reinstatement of OMB No. 0920-0969, 
``Monitoring Changes in Attitudes and Practices among Family Planning 
Providers and Clinics.'' The information collection will allow CDC and 
OPA to assess changes in attitudes and practices among family planning 
providers and clinics after the release of these three national 
guidance documents, and to identify persisting misconceptions and/or 
gaps in clinic-level practices (e.g., low provision of preconception 
health services) that may warrant continued and more tailored 
dissemination and educational activities. Specifically, the survey will 
allow CDC and OPA to improve family planning-related public health 
practice by (1) understanding the current use of contraception guidance 
in practice and valued sources of contraceptive information, including 
awareness and use of the US MEC, US SPR and QFP; (2) describing current 
attitudes and practices among family planning providers and clinics 
related to recommendations included in the US MEC, US SPR, and QFP and 
assessing changes from baseline; and (3) identifying targeted training 
needs in use of guidance and family planning service delivery (e.g., 
provider tools, continuing education modules).
    In 2017-2018, CDC plans to administer a follow-up survey to a 
sample of 10,000 private- and public-sector family planning providers 
and clinic administrators in the United States. The design, 
methodology, and analytic approach are based on methods

[[Page 46680]]

previously approved for the 2013-2014 survey. Minor changes to survey 
content will be made to eliminate unnecessary questions, add new 
questions of interest, and improve formatting, usability, and data 
quality. As in 2013-2014, different versions of the survey instrument 
will be administered to providers and clinic administrators. The 
estimated burden per response for providers is 15 minutes and has not 
changed since the previous OMB approval. The estimated burden per 
response for administrators will be reduced from 40 minutes to 25 
minutes.
    Private-sector physicians will be randomly selected from sampling 
frames with individual-level information on physicians. To reach 
public-sector providers and clinic administrators, publicly funded 
clinics will be randomly selected; one provider and the clinic 
administrator will be asked to complete surveys at sampled clinics. 
Specifically, surveys will be completed by: (a) 2,000 private-sector 
office-based physicians (i.e., those specializing in obstetrics/
gynecology, family medicine, and adolescent medicine), sampled from the 
American Medical Association Physician Masterfile; (b) 2,000 providers 
from Title X clinics, sampled from a database of publicly funded family 
planning clinics; (c) 2,000 providers from non-Title X clinics, sampled 
from a database of publicly funded family planning clinics; (d) 2,000 
clinic administrators from Title X clinics, sampled from a database of 
publicly funded family planning clinics; and (e) 2,000 clinic 
administrators from non-Title X clinics, sampled from a database of 
publicly funded family planning clinics.
    Each sampled provider and clinic will receive a mailed survey 
package. For private-sector family planning providers, each mailed 
survey package will include a single survey to be completed by the 
provider. For public-sector clinics, each mailed survey package will 
include two surveys--one to be completed by a randomly selected family 
planning provider at the clinic, and the second to be completed by the 
clinic administrator. Each mailed survey will be accompanied by a 
postage-paid return envelope. Individuals will also be given the option 
to complete the survey online via a password protected web-based data 
collection system.
    OMB approval is requested for one year. Participation is voluntary 
and there are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of        Number        burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response  (in      (in hr)
                                                                    respondent          hr)
----------------------------------------------------------------------------------------------------------------
Office-based physicians         2017 Survey of             2,000               1           15/60             500
 (private sector).               Health Care
                                 Providers.
Title X clinic providers        2017 Survey of             2,000               1           15/60             500
 (public sector).                Health Care
                                 Providers.
Non-Title X publicly funded     2017 Survey of             2,000               1           15/60             500
 clinic providers (public        Health Care
 sector).                        Providers.
Title X clinic administrators   2017 Survey of             2,000               1           25/60             834
 (public sector).                Administrators
                                 of Publicly-
                                 Funded Health
                                 Centers that
                                 Provide Family
                                 Planning.
Non-Title X publicly funded     2017 Survey of             2,000               1           25/60             834
 clinic administrators (public   Administrators
 sector).                        of Publicly-
                                 Funded Health
                                 Centers that
                                 Provide Family
                                 Planning.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           3,168
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting 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. 2016-16874 Filed 7-15-16; 8:45 am]
 BILLING CODE 4163-18-P

46678 Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices

should be directed to the Attention: transmission. Zika virus infection also (CDC), and other partners, is
CDC Desk Officer, Office of Management has occurred through sexual investigating the association between
and Budget, Washington, DC 20503 or transmission, which may pose an Zika virus infection and microcephaly,
by fax to (202) 395–5806. Written additional risk to non-travelling as well as other adverse pregnancy and
comments should be received within 30 pregnant women whose partners may infant outcomes.
days of this notice. have traveled to areas at high risk for As part of the public health response
Zika virus acquisition. With the ongoing to the Zika virus disease outbreak, CDC
Proposed Project
outbreak in the Americas, the number of will conduct supplemental surveillance
US Zika Pregnancy Registry—New— Zika virus disease cases among travelers of antenatal diagnostic testing and
National Center for Emerging and returning to the United States likely will clinical outcomes among pregnant
Zoonotic Infectious Diseases (NCEZID), increase, and sexual transmission from women with laboratory evidence of Zika
Centers for Disease Control and male travelers to their sex partners in virus or unspecified flavivirus infection
Prevention (CDC). the United States will likely continue to and their infants through the U.S. Zika
occur. In addition, mosquito-borne local Pregnancy Registry. It is anticipated that
Background and Brief Description
transmission may occur in states where the Registry will provide critical
In May 2015, the World Health Aedes species mosquitoes are present. information to direct CDC clinical
Organization reported the first local In some Brazilian states where Zika recommendations and public health
transmission of Zika virus in the virus transmission has occurred, there guidance and messages.
Western Hemisphere, with has been an increase in cases of infants The objective of this Registry is to
autochthonous cases identified in born with microcephaly. Zika virus monitor the frequency and types of
Brazil. As of March 16, 2016, local infections have been confirmed in pregnancy and infant outcomes
transmission has been identified in at several infants with microcephaly and following Zika virus infection during
least 32 countries or territories in the in fetal losses in women infected during pregnancy, so as to inform ongoing
Americas. Further spread to other pregnancy. In addition to microcephaly, response efforts for this Zika virus
countries in the region is likely. Local a range of other problems have been disease outbreak, including
vectorborne transmission of Zika virus detected among fetuses and infants recommendations for clinical care,
has not been documented in the 50 U.S. infected with Zika virus before birth, planning for services for pregnant
states or the District of Columbia, but such as absent or poorly developed women and infants affected by Zika
has occurred in U.S. territories, brain structures, defects of the eye, virus, and improved prevention of Zika
including in Puerto Rico, the U.S. Virgin hearing deficits, and impaired growth. virus infections during pregnancy.
Islands, and American Samoa. However, The Ministry of Health in Brazil, with There are no costs to the respondents
Zika virus infections have been reported support from the Pan American Health other than their time. The total
in travelers returning to the United Organization (PAHO), the U.S. Centers estimated annual burden hours are
States from areas with active Zika virus for Disease Control and Prevention 2,167.

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

State, Territorial and Local Health Depart- Maternal Health History Form ........................ 100 10 30/60
ments.
Supplemental Imaging Form .......................... 100 10 10/60
Laboratory Results Form ............................... 100 10 15/60
Clinicians and Other Providers ....................... Assessment at Delivery Form ........................ 100 10 30/60
Infant Health Follow-Up Form ........................ 100 30 15/60

Jeffrey M. Zirger, DEPARTMENT OF HEALTH AND burden and maximize the utility of
Acting Chief, Information Collection Review HUMAN SERVICES government information, invites the
Office, Office of Scientific Integrity, Office general public and other Federal
of the Associate Director for Science, Office Centers for Disease Control and agencies to take this opportunity to
of the Director, Centers for Disease Control Prevention comment on proposed and/or
and Prevention. continuing information collections, as
[Docket No. CDC–2016–0064; 60 Day–16–
[FR Doc. 2016–16872 Filed 7–15–16; 8:45 am] 0969] required by the Paperwork Reduction
BILLING CODE 4163–18–P Act of 1995. This notice invites
Proposed Data Collection Submitted comment on ‘‘Monitoring Changes in
for Public Comment and Attitudes and Practices among Family
Recommendations Planning Providers and Clinics,’’ a
asabaliauskas on DSK3SPTVN1PROD with NOTICES

AGENCY: Centers for Disease Control and survey to assess dissemination and use
Prevention (CDC), Department of Health of guidance documents about the use of
and Human Services (HHS). contraceptives and the delivery of
ACTION: Notice with comment period. quality family planning services.
DATES: Written comments must be
SUMMARY: The Centers for Disease
received on or before September 16,
Control and Prevention (CDC), as part of
its continuing efforts to reduce public 2016.

VerDate Sep<11>2014 17:52 Jul 15, 2016 Jkt 238001 PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 E:\FR\FM\18JYN1.SGM 18JYN1

46680 Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices

previously approved for the 2013–2014 and the clinic administrator will be Each sampled provider and clinic will
survey. Minor changes to survey content asked to complete surveys at sampled receive a mailed survey package. For
will be made to eliminate unnecessary clinics. Specifically, surveys will be private-sector family planning
questions, add new questions of completed by: (a) 2,000 private-sector providers, each mailed survey package
interest, and improve formatting, office-based physicians (i.e., those will include a single survey to be
usability, and data quality. As in 2013– specializing in obstetrics/gynecology, completed by the provider. For public-
2014, different versions of the survey family medicine, and adolescent sector clinics, each mailed survey
instrument will be administered to medicine), sampled from the American package will include two surveys—one
providers and clinic administrators. The Medical Association Physician to be completed by a randomly selected
estimated burden per response for Masterfile; (b) 2,000 providers from family planning provider at the clinic,
providers is 15 minutes and has not Title X clinics, sampled from a database and the second to be completed by the
changed since the previous OMB of publicly funded family planning clinic administrator. Each mailed survey
approval. The estimated burden per clinics; (c) 2,000 providers from non-
will be accompanied by a postage-paid
response for administrators will be Title X clinics, sampled from a database
return envelope. Individuals will also be
reduced from 40 minutes to 25 minutes. of publicly funded family planning
Private-sector physicians will be clinics; (d) 2,000 clinic administrators given the option to complete the survey
randomly selected from sampling from Title X clinics, sampled from a online via a password protected web-
frames with individual-level database of publicly funded family based data collection system.
information on physicians. To reach planning clinics; and (e) 2,000 clinic OMB approval is requested for one
public-sector providers and clinic administrators from non-Title X clinics, year. Participation is voluntary and
administrators, publicly funded clinics sampled from a database of publicly there are no costs to respondents other
will be randomly selected; one provider funded family planning clinics. than their time.

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

Office-based physicians (private sec- 2017 Survey of Health Care Pro- 2,000 1 15/60 500
tor). viders.
Title X clinic providers (public sector) 2017 Survey of Health Care Pro- 2,000 1 15/60 500
viders.
Non-Title X publicly funded clinic 2017 Survey of Health Care Pro- 2,000 1 15/60 500
providers (public sector). viders.
Title X clinic administrators (public 2017 Survey of Administrators of 2,000 1 25/60 834
sector). Publicly-Funded Health Centers
that Provide Family Planning.
Non-Title X publicly funded clinic ad- 2017 Survey of Administrators of 2,000 1 25/60 834
ministrators (public sector). Publicly-Funded Health Centers
that Provide Family Planning.

Total ........................................... ........................................................... ........................ ........................ ........................ 3,168

Jeffrey M. Zirger, ACTION: Notice with comment period. ADDRESSES: You may submit comments,
Acting Chief, Information Collection Review identified by Docket No. CDC–2016–
Office, Office of Scientific Integrity, Office SUMMARY: The Centers for Disease 0063 by any of the following methods:
of the Associate Director for Science, Office Control and Prevention (CDC), as part of
its continuing efforts to reduce public • Federal eRulemaking Portal:
of the Director, Centers for Disease Control
and Prevention. burden and maximize the utility of Regulations.gov. Follow the instructions
government information, invites the for submitting comments.
[FR Doc. 2016–16874 Filed 7–15–16; 8:45 am]
BILLING CODE 4163–18–P general public and other Federal • Mail: Jeffrey M. Zirger, Information
agencies to take this opportunity to Collection Review Office, Centers for
comment on proposed and/or Disease Control and Prevention, 1600
DEPARTMENT OF HEALTH AND continuing information collections, as Clifton Road NE., MS–D74, Atlanta,
HUMAN SERVICES required by the Paperwork Reduction Georgia 30329.
Act of 1995. This notice invites Instructions: All submissions received
Centers for Disease Control and comment on ‘‘Generic Clearance for must include the agency name and
Prevention CDC/ATSDR Formative Research and Docket Number. All relevant comments
Tool Development’’. This information received will be posted without change
[Docket No. CDC–2016–0063; 60Day–16– collection request is designed to allow to Regulations.gov, including any
asabaliauskas on DSK3SPTVN1PROD with NOTICES

16AVC] CDC to conduct formative research personal information provided. For
information collection activities used to access to the docket to read background
Proposed Data Collection Submitted
inform aspects of surveillance, documents or comments received, go to
for Public Comment and
communications, health promotion, and Regulations.gov.
Recommendations
research project development. Please note: All public comment should be
AGENCY: Centers for Disease Control and DATES: Written comments must be submitted through the Federal eRulemaking
Prevention (CDC), Department of Health received on or before September 16, portal (Regulations.gov) or by U.S. mail to the
and Human Services (HHS). 2016. address listed above.

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Document Created: 2016-07-16 02:28:44
Document Modified: 2016-07-16 02:28:44

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice with comment period.
Dates		Written comments must be received on or before September 16, 2016.
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]
FR Citation		81 FR 46678

81 FR 46678 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 81, Issue 137 (July 18, 2016)

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