83_FR_44798 83 FR 44628 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 44628 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 170 (August 31, 2018)

Page Range44628-44630
FR Document2018-19012

Federal Register, Volume 83 Issue 170 (Friday, August 31, 2018)
[Federal Register Volume 83, Number 170 (Friday, August 31, 2018)]
[Notices]
[Pages 44628-44630]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-19012]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-0743]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled Monitoring Breastfeeding-Related Maternity 
Care--U.S. hospitals to the Office of Management and Budget (OMB) for 
review and approval. CDC previously published a ``Proposed Data 
Collection Submitted for Public Comment and Recommendations'' notice on 
November 22, 2017, to obtain comments from the public and affected 
agencies. CDC received 12 comments related to the previous notice. This 
notice serves to allow an additional 30 days for public and affected 
agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (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 omb@cdc.gov. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202)

[[Page 44629]]

395-5806. Provide written comments within 30 days of notice 
publication.

Proposed Project

    Monitoring Breastfeeding-Related Maternity Care--U.S. Hospitals 
(OMB Control No. 0920-0743, Exp. 9/30/2016)--Reinstatement with 
Change--Division of Nutrition, Physical Activity, and Obesity, National 
Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Substantial evidence demonstrates the social, economic, and health 
benefits of breastfeeding for both the mother and infant as well as for 
society in general. Breastfeeding mothers have lower risks of breast 
and ovarian cancers and type 2 diabetes, and breastfeeding better 
protects infants against infections, chronic diseases like diabetes and 
obesity, and even childhood leukemia and sudden infant death syndrome 
(SIDS). However, the groups that are at higher risk for diabetes, 
obesity, and poor health overall persistently have the lowest 
breastfeeding rates.
    Health professionals recommend at least 12 months of breastfeeding, 
and Healthy People 2020 establishes specific national breastfeeding 
goals. In addition to increasing overall rates, a significant public 
health priority in the United States is to reduce variation in 
breastfeeding rates across population subgroups. Although CDC 
surveillance data indicate that breastfeeding initiation rates in the 
United States are climbing, rates for duration and exclusivity continue 
to lag, and significant disparities persist between African American 
and white women in breastfeeding rates.
    The health care system is one of the most important and effective 
settings to improve breastfeeding. Recognition of the hospital stay as 
a crucial influence in later breastfeeding outcomes led to the addition 
of two objectives in Healthy People 2020 to allow national monitoring 
of improvements in support for breastfeeding during this time. In 2007, 
CDC conducted the first national survey of Maternity Practices in 
Infant Nutrition and Care (known as the mPINC Survey) in health care 
facilities (hospitals and free-standing childbirth centers). This 
survey was designed to provide baseline information and to be repeated 
every two years. The survey was conducted again in 2009, 2011, 2013, 
and 2015. The survey inquired about patient education and support for 
breastfeeding throughout the maternity stay as well as staff training 
and maternity care policies.
    Prior to the fielding of the 2009 iteration, CDC was requested to 
provide a report to OMB on the results of the 2007 collection. In this 
report, CDC provided survey results by geographic and demographic 
characteristics and a summary of activities that resulted from the 
survey. A summary of mPINC findings was also the anchor of all 
activities related to the CDC August 2011 Vital Signs activity, marking 
the first time that CDC highlighted improving hospital maternity 
practices as the CDC-wide public health priority. A summary of mPINC 
findings provided the basis of the CDC October 2015 Vital Signs report, 
which updated the 2011 Vital Signs report and concluded that although 
maternity care policies and practices supportive of breastfeeding are 
improving nationally; more work is needed to ensure all women receive 
optimal breastfeeding support during the birth hospitalization.
    The planned methodology for the 2018 and 2020 national survey of 
Maternity Practices in Infant Nutrition and Care (mPINC) will closely 
match that of the previously administered mPINC surveys in 2007, 2009, 
2011, 2013, and 2015. Changes described in this Reinstatement with 
change include: (1) Deployment of 2018 and 2020 Surveys; (2) data 
collection via web-survey only (no paper surveys); (3) surveying 
hospitals only (not birth centers); (4) requesting contact information 
for two individuals per facility (previously only one); (5) an updated 
American Hospital Association (AHA) database will be acquired to 
identify hospitals not currently on the list for recruitment in the 
2018 survey. This process will not occur for the 2020 survey, but 
additional hospitals identified from the new database for 2018 will be 
included in the 2020 survey; (6) 2018 and 2020 survey content has been 
updated.
    A major strength of the mPINC survey is its structure as an ongoing 
national census, which does not employ sampling methods. Facilities are 
identified by using the American Hospital Association (AHA) Annual 
Survey of Hospitals. Facilities that will be invited to participate in 
the survey include hospitals that participated in previous iterations 
and those that were invited but did not participate in the previous 
iterations, as well as those that have become eligible since the most 
recent mPINC survey. All hospitals with >=1 registered maternity bed 
will be screened via a brief phone call to assess their eligibility, 
identify additional satellite locations, and identify the appropriate 
point of contact. The high response rates to the previous iterations of 
the mPINC survey (82-83% in 2007, 2009, 2011, 2013, and 2015) indicate 
that the methodology is appropriate and also reflects high interest 
among the study population.
    As with the initial surveys, a major goal of the 2018 and 2020 
follow-up surveys is to be fully responsive to hospitals' needs for 
information and technical assistance. CDC will provide direct feedback 
to hospital respondents in a customized benchmark report of their 
results. CDC will use information from the mPINC surveys to identify, 
document, and share information related to incremental changes in 
practices and care processes over time at the hospital, state, and 
national levels. Data are also used by researchers to better understand 
the relationships between hospital characteristics, maternity-care 
practices, state level factors, and breastfeeding initiation and 
continuation rates. Participation in the survey is voluntary, and 
responses may be submitted through a Web-based system. The total 
estimated annual Burden Hours are 855. There are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Maternity Hospital....................  Screening Call Script              1,952               1            1/60
                                         Part A.
Maternity Hospital....................  Screening Call Script              1,672               1            4/60
                                         Part B.
Maternity Hospital....................  mPINC Facility Survey...           1,421               1           30/60
----------------------------------------------------------------------------------------------------------------



[[Page 44630]]

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. 2018-19012 Filed 8-30-18; 8:45 am]
 BILLING CODE 4163-18-P



                                               44628                         Federal Register / Vol. 83, No. 170 / Friday, August 31, 2018 / Notices

                                               assets or the ownership of, control of, or              Interested persons may express their                  DEPARTMENT OF HEALTH AND
                                               the power to vote shares of a bank or                   views in writing to the Reserve Bank                  HUMAN SERVICES
                                               bank holding company and all of the                     indicated for that notice or to the offices
                                               banks and nonbanking companies                          of the Board of Governors. Comments                   Centers for Disease Control and
                                               owned by the bank holding company,                      must be received not later than                       Prevention
                                               including the companies listed below.                   September 19, 2018.                                   [30Day–18–0743]
                                                 The applications listed below, as well                  A. Federal Reserve Bank of
                                               as other related filings required by the                Minneapolis (Mark A. Rauzi, Vice                      Agency Forms Undergoing Paperwork
                                               Board, are available for immediate                      President), 90 Hennepin Avenue,                       Reduction Act Review
                                               inspection at the Federal Reserve Bank                  Minneapolis, Minnesota 55480–0291:
                                               indicated. The applications will also be                                                                         In accordance with the Paperwork
                                                                                                         1. Brian Solsrud, individually and as               Reduction Act of 1995, the Centers for
                                               available for inspection at the offices of              trustee of the Descendant’s Separate
                                               the Board of Governors. Interested                                                                            Disease Control and Prevention (CDC)
                                                                                                       Trust fbo Brian K. Solsrud under the                  has submitted the information
                                               persons may express their views in                      Glenn A. Solsrud Augusta Irrevocable
                                               writing on the standards enumerated in                                                                        collection request titled Monitoring
                                                                                                       Trust dated December 28, 2012 and the                 Breastfeeding-Related Maternity Care—
                                               the BHC Act (12 U.S.C. 1842(c)). If the                 Descendant’s Separate Trust fbo Brian
                                               proposal also involves the acquisition of                                                                     U.S. hospitals to the Office of
                                                                                                       K. Solsrud under the Ardath K. Solsrud                Management and Budget (OMB) for
                                               a nonbanking company, the review also                   Augusta Irrevocable Trust dated
                                               includes whether the acquisition of the                                                                       review and approval. CDC previously
                                                                                                       December 28, 2012, all of North Oaks,                 published a ‘‘Proposed Data Collection
                                               nonbanking company complies with the                    Minnesota; and Rachel Goodell,
                                               standards in section 4 of the BHC Act                                                                         Submitted for Public Comment and
                                                                                                       Augusta, Wisconsin; Corinne Solsrud,                  Recommendations’’ notice on November
                                               (12 U.S.C. 1843). Unless otherwise                      Mosinee, Wisconsin; and Gregory
                                               noted, nonbanking activities will be                                                                          22, 2017, to obtain comments from the
                                                                                                       Solsrud, Dunwoody, Georgia, each                      public and affected agencies. CDC
                                               conducted throughout the United States.                 individually; to acquire voting shares of
                                                 Unless otherwise noted, comments                                                                            received 12 comments related to the
                                                                                                       Augusta Financial Corporation and                     previous notice. This notice serves to
                                               regarding each of these applications                    thereby indirectly acquire shares of
                                               must be received at the Reserve Bank                                                                          allow an additional 30 days for public
                                                                                                       Unity Bank, both of Augusta,                          and affected agency comments.
                                               indicated or the offices of the Board of                Wisconsin.
                                               Governors not later than September 27,                                                                           CDC will accept all comments for this
                                                                                                         2. Brian Solsrud, individually and as               proposed information collection project.
                                               2018.
                                                 A. Federal Reserve Bank of St. Louis                  trustee of the Descendant’s Separate                  The Office of Management and Budget
                                               (David L. Hubbard, Senior Manager)                      Trust fbo Brian K. Solsrud under the                  is particularly interested in comments
                                               P.O. Box 442, St. Louis, Missouri                       Glenn A. Solsrud Caprice Irrevocable                  that:
                                               63166–2034. Comments can also be sent                   Trust dated December 28, 2012 and the                    (a) Evaluate whether the proposed
                                               electronically to                                       Descendant’s Separate Trust fbo Brian                 collection of information is necessary
                                               Comments.applications@stls.frb.org:                     K. Solsrud under the Ardath K. Solsrud                for the proper performance of the
                                                 1. Summit Bancshares, Inc.,                           Caprice Irrevocable Trust dated                       functions of the agency, including
                                               Chesterfield, Missouri; to become a bank                December 28, 2012, all of North Oaks,                 whether the information will have
                                               holding company by acquiring 100                        Minnesota; and Rachel Goodell,                        practical utility;
                                               percent of the voting shares of The Bank                Augusta, Wisconsin; Corinne Solsrud,                     (b) Evaluate the accuracy of the
                                               of Houston, Houston, Missouri.                          Mosinee, Wisconsin; and Gregory                       agencies estimate of the burden of the
                                                                                                       Solsrud, Dunwoody, Georgia, each                      proposed collection of information,
                                                 Board of Governors of the Federal Reserve
                                                                                                       individually; to acquire voting shares of             including the validity of the
                                               System, August 28, 2018.
                                                                                                       Caprice Corporation, Augusta,                         methodology and assumptions used;
                                               Ann Misback,
                                                                                                       Wisconsin, and thereby indirectly                        (c) Enhance the quality, utility, and
                                               Secretary of the Board.                                 acquire shares of Unity Bank North, Red               clarity of the information to be
                                               [FR Doc. 2018–18997 Filed 8–30–18; 8:45 am]             Lake Falls, Minnesota.                                collected;
                                               BILLING CODE P
                                                                                                         B. Federal Reserve Bank of San                         (d) Minimize the burden of the
                                                                                                       Francisco (Gerald C. Tsai, Director,                  collection of information on those who
                                                                                                       Applications and Enforcement) 101                     are to respond, including, through the
                                               FEDERAL RESERVE SYSTEM                                                                                        use of appropriate automated,
                                                                                                       Market Street, San Francisco, California
                                               Change in Bank Control Notices;                         94105–1579:                                           electronic, mechanical, or other
                                               Acquisitions of Shares of a Bank or                       1. Kevin Stacy Garn, Layton, Utah,                  technological collection techniques or
                                               Bank Holding Company                                    Courtney Allphin, Layton, Utah, Gabe                  other forms of information technology,
                                                                                                       Garn, Syracuse, Utah, Jake Garn,                      e.g., permitting electronic submission of
                                                 The notificants listed below have                     Layton, Utah, Jordan Garn, Farmington,                responses; and
                                               applied under the Change in Bank                        Utah, Talmage Garn, Salt Lake City,                      (e) Assess information collection
                                               Control Act (12 U.S.C. 1817(j)) and                     Utah, and Taylee Goff, Farmington,                    costs.
                                               § 225.41 of the Board’s Regulation Y (12                Utah; to retain voting shares of FNB                     To request additional information on
                                               CFR 225.41) to acquire shares of a bank                 Bancorp, and thereby indirectly retain                the proposed project or to obtain a copy
                                               or bank holding company. The factors                    voting shares of First National Bank of               of the information collection plan and
                                               that are considered in acting on the                    Layton, both of Layton, Utah.                         instruments, call (404) 639–7570 or
daltland on DSKBBV9HB2PROD with NOTICES




                                               notices are set forth in paragraph 7 of                                                                       send an email to omb@cdc.gov. Direct
                                               the Act (12 U.S.C. 1817(j)(7)).                           Board of Governors of the Federal Reserve           written comments and/or suggestions
                                                 The notices are available for                         System, August 28, 2018.                              regarding the items contained in this
                                               immediate inspection at the Federal                     Ann Misback,                                          notice to the Attention: CDC Desk
                                               Reserve Bank indicated. The notices                     Secretary of the Board.                               Officer, Office of Management and
                                               also will be available for inspection at                [FR Doc. 2018–18996 Filed 8–30–18; 8:45 am]           Budget, 725 17th Street NW,
                                               the offices of the Board of Governors.                  BILLING CODE P                                        Washington, DC 20503 or by fax to (202)


                                          VerDate Sep<11>2014   18:42 Aug 30, 2018   Jkt 244001   PO 00000   Frm 00067   Fmt 4703   Sfmt 4703   E:\FR\FM\31AUN1.SGM   31AUN1


                                                                                   Federal Register / Vol. 83, No. 170 / Friday, August 31, 2018 / Notices                                                       44629

                                               395–5806. Provide written comments                                Nutrition and Care (known as the                            survey, but additional hospitals
                                               within 30 days of notice publication.                             mPINC Survey) in health care facilities                     identified from the new database for
                                                                                                                 (hospitals and free-standing childbirth                     2018 will be included in the 2020
                                               Proposed Project
                                                                                                                 centers). This survey was designed to                       survey; (6) 2018 and 2020 survey
                                                 Monitoring Breastfeeding-Related                                provide baseline information and to be                      content has been updated.
                                               Maternity Care—U.S. Hospitals (OMB                                repeated every two years. The survey
                                               Control No. 0920–0743, Exp. 9/30/                                                                                                A major strength of the mPINC survey
                                                                                                                 was conducted again in 2009, 2011,                          is its structure as an ongoing national
                                               2016)—Reinstatement with Change—                                  2013, and 2015. The survey inquired
                                               Division of Nutrition, Physical Activity,                                                                                     census, which does not employ
                                                                                                                 about patient education and support for                     sampling methods. Facilities are
                                               and Obesity, National Center for                                  breastfeeding throughout the maternity
                                               Chronic Disease Prevention and Health                                                                                         identified by using the American
                                                                                                                 stay as well as staff training and                          Hospital Association (AHA) Annual
                                               Promotion (NCCDPHP), Centers for                                  maternity care policies.
                                               Disease Control and Prevention (CDC).                                                                                         Survey of Hospitals. Facilities that will
                                                                                                                    Prior to the fielding of the 2009                        be invited to participate in the survey
                                               Background and Brief Description                                  iteration, CDC was requested to provide                     include hospitals that participated in
                                                                                                                 a report to OMB on the results of the                       previous iterations and those that were
                                                  Substantial evidence demonstrates the
                                                                                                                 2007 collection. In this report, CDC                        invited but did not participate in the
                                               social, economic, and health benefits of
                                                                                                                 provided survey results by geographic                       previous iterations, as well as those that
                                               breastfeeding for both the mother and
                                                                                                                 and demographic characteristics and a
                                               infant as well as for society in general.                                                                                     have become eligible since the most
                                                                                                                 summary of activities that resulted from
                                               Breastfeeding mothers have lower risks                                                                                        recent mPINC survey. All hospitals with
                                                                                                                 the survey. A summary of mPINC
                                               of breast and ovarian cancers and type                                                                                        ≥1 registered maternity bed will be
                                               2 diabetes, and breastfeeding better                              findings was also the anchor of all
                                                                                                                                                                             screened via a brief phone call to assess
                                               protects infants against infections,                              activities related to the CDC August
                                                                                                                                                                             their eligibility, identify additional
                                               chronic diseases like diabetes and                                2011 Vital Signs activity, marking the
                                                                                                                                                                             satellite locations, and identify the
                                               obesity, and even childhood leukemia                              first time that CDC highlighted
                                                                                                                                                                             appropriate point of contact. The high
                                               and sudden infant death syndrome                                  improving hospital maternity practices
                                                                                                                                                                             response rates to the previous iterations
                                               (SIDS). However, the groups that are at                           as the CDC-wide public health priority.
                                                                                                                                                                             of the mPINC survey (82–83% in 2007,
                                               higher risk for diabetes, obesity, and                            A summary of mPINC findings provided
                                                                                                                                                                             2009, 2011, 2013, and 2015) indicate
                                               poor health overall persistently have the                         the basis of the CDC October 2015 Vital
                                                                                                                 Signs report, which updated the 2011                        that the methodology is appropriate and
                                               lowest breastfeeding rates.                                                                                                   also reflects high interest among the
                                                  Health professionals recommend at                              Vital Signs report and concluded that
                                                                                                                 although maternity care policies and                        study population.
                                               least 12 months of breastfeeding, and
                                               Healthy People 2020 establishes specific                          practices supportive of breastfeeding are                      As with the initial surveys, a major
                                               national breastfeeding goals. In addition                         improving nationally; more work is                          goal of the 2018 and 2020 follow-up
                                               to increasing overall rates, a significant                        needed to ensure all women receive                          surveys is to be fully responsive to
                                               public health priority in the United                              optimal breastfeeding support during                        hospitals’ needs for information and
                                               States is to reduce variation in                                  the birth hospitalization.                                  technical assistance. CDC will provide
                                               breastfeeding rates across population                                The planned methodology for the                          direct feedback to hospital respondents
                                               subgroups. Although CDC surveillance                              2018 and 2020 national survey of                            in a customized benchmark report of
                                               data indicate that breastfeeding                                  Maternity Practices in Infant Nutrition                     their results. CDC will use information
                                               initiation rates in the United States are                         and Care (mPINC) will closely match                         from the mPINC surveys to identify,
                                               climbing, rates for duration and                                  that of the previously administered                         document, and share information
                                               exclusivity continue to lag, and                                  mPINC surveys in 2007, 2009, 2011,                          related to incremental changes in
                                               significant disparities persist between                           2013, and 2015. Changes described in                        practices and care processes over time at
                                               African American and white women in                               this Reinstatement with change include:                     the hospital, state, and national levels.
                                               breastfeeding rates.                                              (1) Deployment of 2018 and 2020                             Data are also used by researchers to
                                                  The health care system is one of the                           Surveys; (2) data collection via web-                       better understand the relationships
                                               most important and effective settings to                          survey only (no paper surveys); (3)                         between hospital characteristics,
                                               improve breastfeeding. Recognition of                             surveying hospitals only (not birth                         maternity-care practices, state level
                                               the hospital stay as a crucial influence                          centers); (4) requesting contact                            factors, and breastfeeding initiation and
                                               in later breastfeeding outcomes led to                            information for two individuals per                         continuation rates. Participation in the
                                               the addition of two objectives in                                 facility (previously only one); (5) an                      survey is voluntary, and responses may
                                               Healthy People 2020 to allow national                             updated American Hospital Association                       be submitted through a Web-based
                                               monitoring of improvements in support                             (AHA) database will be acquired to                          system. The total estimated annual
                                               for breastfeeding during this time. In                            identify hospitals not currently on the                     Burden Hours are 855. There are no
                                               2007, CDC conducted the first national                            list for recruitment in the 2018 survey.                    costs to respondents other than their
                                               survey of Maternity Practices in Infant                           This process will not occur for the 2020                    time.

                                                                                                                ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                               Average
                                                                                                                                                                                               Number of
                                                                                                                                                                             Number of                       burden per
                                                                Type of respondents                                                  Form name                                               responses per
                                                                                                                                                                            respondents                       response
daltland on DSKBBV9HB2PROD with NOTICES




                                                                                                                                                                                               respondent     (in hours)

                                               Maternity Hospital ...........................................   Screening Call Script Part A ..........................            1,952                 1           1/60
                                               Maternity Hospital ...........................................   Screening Call Script Part B ..........................            1,672                 1           4/60
                                               Maternity Hospital ...........................................   mPINC Facility Survey ...................................          1,421                 1          30/60




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                                               44630                         Federal Register / Vol. 83, No. 170 / Friday, August 31, 2018 / Notices

                                               Jeffrey M. Zirger,                                         Please note: Submit all comments                   Background and Brief Description
                                               Acting Chief, Information Collection Review             through the Federal eRulemaking portal                   The Centers for Disease Control and
                                               Office, Office of Scientific Integrity, Office          (regulations.gov) or by U.S. mail to the              Prevention (CDC) seeks OMB approval
                                               of the Associate Director for Science, Office           address listed above.
                                               of the Director, Centers for Disease Control                                                                  to collect information through the
                                                                                                       FOR FURTHER INFORMATION CONTACT: To                   Pregnancy Risk Assessment Monitoring
                                               and Prevention.
                                                                                                       request more information on the                       System (PRAMS) for three years as a
                                               [FR Doc. 2018–19012 Filed 8–30–18; 8:45 am]
                                                                                                       proposed project or to obtain a copy of               generic clearance. OMB approval for
                                               BILLING CODE 4163–18–P                                  the information collection plan and                   new modules will be submitted through
                                                                                                       instruments, contact Jeffrey M. Zirger,               the part of generic clearance
                                                                                                       Information Collection Review Office,                 mechanism.
                                               DEPARTMENT OF HEALTH AND                                Centers for Disease Control and
                                               HUMAN SERVICES                                                                                                   PRAMS supplements vital records
                                                                                                       Prevention, 1600 Clifton Road NE, MS–                 data by providing state-specific
                                               Centers for Disease Control and                         D74, Atlanta, Georgia 30329; phone:                   information on maternal behaviors and
                                               Prevention                                              404–639–7570; Email: omb@cdc.gov.                     experiences before, during and after
                                                                                                       SUPPLEMENTARY INFORMATION: Under the                  pregnancy. Every month, in each
                                               [60 Day–18–16JO; Docket No. CDC–2018–                   Paperwork Reduction Act of 1995 (PRA)                 participating state, a sample of women
                                               0077]                                                   (44 U.S.C. 3501–3520), Federal agencies               who have recently given birth to a live
                                                                                                       must obtain approval from the Office of               born or stillborn infant is selected from
                                               Proposed Data Collection Submitted
                                                                                                       Management and Budget (OMB) for each                  birth certificates or fetal death files. The
                                               for Public Comment and
                                                                                                       collection of information they conduct                sample is stratified based on the state’s
                                               Recommendations
                                                                                                       or sponsor. In addition, the PRA also                 population of interest to ensure high-
                                               AGENCY: Centers for Disease Control and                 requires Federal agencies to provide a                risk populations are represented in the
                                               Prevention (CDC), Department of Health                  60-day notice in the Federal Register                 data. PRAMS is a state customized mail
                                               and Human Services (HHS).                               concerning each proposed collection of                and telephone survey conducted in 51
                                               ACTION: Notice with comment period.                     information, including each new                       sites and covers 83% of all live births
                                                                                                       proposed collection, each proposed                    in the United States. Information is
                                               SUMMARY:    The Centers for Disease                     extension of existing collection of                   collected by self-administered mail
                                               Control and Prevention (CDC), as part of                information, and each reinstatement of                survey with telephone follow-up for
                                               its continuing effort to reduce public                  previously approved information                       non-responders. Because PRAMS uses
                                               burden and maximize the utility of                      collection before submitting the                      standardized data collection methods, it
                                               government information, invites the                     collection to the OMB for approval. To                allows data to be compared among
                                               general public and other Federal                        comply with this requirement, we are                  states.
                                               agencies the opportunity to comment on                  publishing this notice of a proposed                     The PRAMS survey instrument is
                                               a proposed and/or continuing                            data collection as described below.                   based on a core set of questions
                                               information collection, as required by                     The OMB is particularly interested in              common across all states. Core
                                               the Paperwork Reduction Act of 1995.                    comments that will help:                              questions request information that is not
                                               This notice invites comment on a                           1. Evaluate whether the proposed                   available from vital records; information
                                               proposed information collection project                 collection of information is necessary                about health conditions, prenatal care,
                                               titled Pregnancy Risk Assessment                        for the proper performance of the
                                                                                                                                                             postpartum care, access to care, or
                                               Monitoring System (PRAMS). PRAMS                        functions of the agency, including
                                                                                                                                                             health insurance status; information
                                               provides an important supplement to                     whether the information will have
                                                                                                                                                             about contraception, health habits or
                                               vital records data by providing state-                  practical utility;
                                                                                                          2. Evaluate the accuracy of the                    risk behaviors; and information about
                                               specific information not available                                                                            other topics such as breastfeeding. In
                                               through birth certificate data on                       agency’s estimate of the burden of the
                                                                                                       proposed collection of information,                   addition, CDC provides participating
                                               maternal behaviors and experiences                                                                            states with standard questions from
                                               before, during and after pregnancy on                   including the validity of the
                                                                                                       methodology and assumptions used;                     optional modules that states may use to
                                               health conditions, prenatal care,                                                                             customize survey content for their
                                               postpartum care, access to care, and                       3. Enhance the quality, utility, and
                                                                                                       clarity of the information to be                      specific needs at the beginning of each
                                               health insurance status.                                                                                      Phase of data collection. In addition, on
                                                                                                       collected; and
                                               DATES: CDC must receive written                                                                               occasion, states may be funded to
                                                                                                          4. Minimize the burden of the
                                               comments on or before October 30,                       collection of information on those who                address emerging topics of interest to
                                               2018.                                                   are to respond, including through the                 collect supplemental data on optional
                                               ADDRESSES: You may submit comments,                     use of appropriate automated,                         modules of interest. These questions can
                                               identified by Docket No. CDC–201x–                      electronic, mechanical, or other                      be used to address state-specific
                                               xxxx by any of the following methods:                   technological collection techniques or                priorities and special topics such as, for
                                                  • Federal eRulemaking Portal:                        other forms of information technology,                example, substance use, including
                                               Regulations.gov. Follow the instructions                e.g., permitting electronic submissions               prescription and illicit opioid use,
                                               for submitting comments.                                of responses.                                         disease epidemics, or other topics
                                                  • Mail: Jeffrey M. Zirger, Information                  5. Assess information collection costs.            related to healthy pregnancy; these
                                               Collection Review Office, Centers for                                                                         supplements can be administered to
                                               Disease Control and Prevention, 1600                    Proposed Project                                      women identified in the usual manner
daltland on DSKBBV9HB2PROD with NOTICES




                                               Clifton Road NE, MS–D74, Atlanta,                         The Pregnancy Risk Assessment                       or via hospital records. States not
                                               Georgia 30329.                                          Monitoring System (PRAMS)—Existing                    intending to implement the survey on
                                                  Instructions: All submissions received               Collection in Use without an OMB                      an ongoing basis, can instead employ a
                                               must include the agency name and                        Control Number—National Center for                    point-in-time survey. Because PRAMS
                                               Docket Number. CDC will post, without                   Chronic Disease Prevention and Health                 infrastructure was developed to access a
                                               change, all relevant comments to                        Promotion (NCCDPHP), Centers for                      specific and vulnerable subpopulation,
                                               Regulations.gov.                                        Disease Control and Prevention (CDC).                 the PRAMS infrastructure can be


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Document Created: 2018-08-31 00:54:08
Document Modified: 2018-08-31 00:54:08
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
FR Citation83 FR 44628 

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