83 FR 50098 - Proposed Data Collection Submitted for Public Comment and Recommendations

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

Federal Register Volume 83, Issue 193 (October 4, 2018)

Page Range		50098-50099
FR Document		2018-21571

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed revision of information collection project titled Formative and Summative Evaluation of Scaling the National Diabetes Prevention Program (National DPP) in Underserved Areas. This revision is to allow CDC to continue collecting the information needed to assess the effectiveness of its program, ``Scaling the National DPP in Underserved Areas'', and to collect more targeted information on CDC grantees' success in reaching both general and priority populations in underserved areas.

Federal Register, Volume 83 Issue 193 (Thursday, October 4, 2018)

[Federal Register Volume 83, Number 193 (Thursday, October 4, 2018)]
[Notices]
[Pages 50098-50099]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-21571]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-18-1090; Docket No. CDC-2018-0089]

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.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies the opportunity to comment on a proposed and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
revision of information collection project titled Formative and
Summative Evaluation of Scaling the National Diabetes Prevention
Program (National DPP) in Underserved Areas. This revision is to allow
CDC to continue collecting the information needed to assess the
effectiveness of its program, ``Scaling the National DPP in Underserved
Areas'', and to collect more targeted information on CDC grantees'
success in reaching both general and priority populations in
underserved areas.

DATES: CDC must receive written comments on or before December 3, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0089 by any of the following methods:
Federal eRulemaking Portal: Regulations.gov. Follow the
instructions for submitting comments.
Mail: Jeffrey M. Zirger, 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. CDC will post, without change, all relevant comments
to Regulations.gov.
Please note: Submit all comments 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 Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email:
omb@cdc.gov.

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 the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected; and
4. 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
submissions of responses.
5. Assess information collection costs.

Proposed Project

Formative and Summative Evaluation of Scaling the National Diabetes
Prevention Program in Underserved Areas (OMB No. 0920-1090, exp. 12/31/
2018)--Revision--National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention
(CDC).

Background and Brief Description

The CDC-led National Diabetes Prevention Program (National DPP) is
a partnership of public and private organizations working collectively
to build the infrastructure for nationwide delivery of an evidence-
based lifestyle change program to prevent or delay Type 2 diabetes
among adults with prediabetes. The National DPP lifestyle change
program is founded on the science of the Diabetes Prevention Program
research study, and several translation studies that followed, which
showed that making modest behavior changes helped people with
prediabetes lose 5% to 7% of their body weight and reduce their risk of
developing Type 2 diabetes by 58% (71% for people over 60 years old).
From 2012 to 2017, CDC funded six national organizations through a
cooperative agreement to establish and expand multistate networks of
over 200 program delivery organizations that are able to meet national
standards and achieve the outcomes proven to prevent or delay onset of
Type 2 diabetes. CDC has conducted a formative and summative evaluation
of this program and used the

[[Page 50099]]

evaluation findings and lessons learned to provide data-driven
technical assistance to the grantees and other organizations delivering
the National DPP lifestyle change program. The data and lessons learned
from DP12-1212 were also used to inform decision-making and policy,
including the development of the Centers for Medicare & Medicaid
Services (CMS) Medicare Diabetes Prevention Program (MDPP). As of April
1, 2018, the MDPP Expanded Model provides coverage for the National DPP
lifestyle change program for eligible Medicare beneficiaries.
Despite the fact that over 1800 CDC-recognized organizations in 50
states, the District of Columbia, Puerto Rico, and the Virgin Islands
offer the National DPP lifestyle change program, there are still many
geographic areas with few or no in-person delivery programs. In
addition, some populations, including Medicare beneficiaries, men,
African-Americans, Asian-Americans, Hispanics, American Indians, Alaska
Natives, Pacific Islanders, and people with visual impairment or
physical disabilities, are under-enrolled relative to their estimated
numbers and disease burden. To address these gaps, CDC funded a new,
five-year cooperative agreement with ten new national organizations in
September 2017, ``Scaling the National DPP in Underserved Areas''
(DP17-1705). CDC funded ten national organizations with affiliate
program delivery sites in at least three states, each to start new CDC-
recognized organizations in underserved areas and to enroll both
general and priority populations in new or existing CDC-recognized
organizations. The DP17-1705 grantees will work on activities designed
to accomplish three main goals:
(1) Build the infrastructure in underserved areas necessary to
deliver the National DPP lifestyle change program to the general
population and to priority populations, including Medicare
beneficiaries, men, African-Americans, Asian-Americans, Hispanics,
American Indians, Alaska Natives, Pacific Islanders, and non-
institutionalized people with visual or physical disabilities;
(2) Tailor and adapt the program to address the unique needs and
challenges of the enrolled participants; and
(3) Provide participants with specialized support needed to
successfully complete the program and achieve 5-7% weight loss. Through
this new cooperative agreement, it is anticipated that enrollment,
retention, and achievement of 5-7% weight loss goals for the targeted
populations will increase.
At this time, CDC requests an additional three years of OMB
approval to continue collecting information needed to evaluate the
effectiveness of CDC's funding for the new grantees. The data
collection will allow CDC to continue to provide data-driven, tailored
programmatic technical assistance to ensure continuous quality
improvement for each year of the cooperative agreement. A number of
changes to the evaluation forms are proposed to ensure that reporting
and evaluation requirements are consistent with the aims of the new
cooperative agreement and reflect the lessons learned from the original
funded national organizations and their affiliate delivery sites.
Evaluation data elements have been added or modified accordingly. Also,
the method of data collection has converted from using an Excel
spreadsheet to a web-based data system to allow for real-time feedback
and technical assistance.
The reporting burden of this collection of information is estimated
to vary between two and four hours with an average of three hours per
grantee response (decreased from 12 hours), and between four and six
hours with an average of five hours per affiliate delivery site
response (increased from an average of 45 minutes per response). These
estimated burden hours include the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information by
the grantee and affiliate delivery site to submit information directly
to the web-based data system. The number of respondents will increase
with the increased number of grantees. These changes result in a net
increase of 368 annualized burden hours. 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 Total burden
respondents respondent (in hours) (in hours)
----------------------------------------------------------------------------------------------------------------
National DPP Affiliate Evaluation Form 100 1 5 500
Delivery Sites. for Sites.
National DPP Grantees......... Evaluation Form 10 1 3 30
for Grantees.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 530
----------------------------------------------------------------------------------------------------------------

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. 2018-21571 Filed 10-3-18; 8:45 am]
BILLING CODE 4163-18-P

Federal Register / Vol. 83, No. 193 / Thursday, October 4, 2018 / Notices 50099

evaluation findings and lessons learned recognized organizations in underserved improvement for each year of the
to provide data-driven technical areas and to enroll both general and cooperative agreement. A number of
assistance to the grantees and other priority populations in new or existing changes to the evaluation forms are
organizations delivering the National CDC-recognized organizations. The proposed to ensure that reporting and
DPP lifestyle change program. The data DP17–1705 grantees will work on evaluation requirements are consistent
and lessons learned from DP12–1212 activities designed to accomplish three with the aims of the new cooperative
were also used to inform decision- main goals: agreement and reflect the lessons
making and policy, including the (1) Build the infrastructure in learned from the original funded
development of the Centers for underserved areas necessary to deliver national organizations and their affiliate
Medicare & Medicaid Services (CMS) the National DPP lifestyle change delivery sites. Evaluation data elements
Medicare Diabetes Prevention Program program to the general population and have been added or modified
(MDPP). As of April 1, 2018, the MDPP to priority populations, including accordingly. Also, the method of data
Expanded Model provides coverage for Medicare beneficiaries, men, African- collection has converted from using an
the National DPP lifestyle change Americans, Asian-Americans, Excel spreadsheet to a web-based data
program for eligible Medicare Hispanics, American Indians, Alaska system to allow for real-time feedback
beneficiaries. Natives, Pacific Islanders, and non- and technical assistance.
Despite the fact that over 1800 CDC- institutionalized people with visual or The reporting burden of this
recognized organizations in 50 states, physical disabilities; collection of information is estimated to
the District of Columbia, Puerto Rico, (2) Tailor and adapt the program to vary between two and four hours with
and the Virgin Islands offer the National address the unique needs and an average of three hours per grantee
DPP lifestyle change program, there are challenges of the enrolled participants; response (decreased from 12 hours), and
still many geographic areas with few or and between four and six hours with an
no in-person delivery programs. In (3) Provide participants with average of five hours per affiliate
addition, some populations, including specialized support needed to delivery site response (increased from
Medicare beneficiaries, men, African- successfully complete the program and an average of 45 minutes per response).
Americans, Asian-Americans, achieve 5–7% weight loss. Through this These estimated burden hours include
Hispanics, American Indians, Alaska new cooperative agreement, it is the time for reviewing instructions,
Natives, Pacific Islanders, and people anticipated that enrollment, retention, searching existing data sources,
with visual impairment or physical and achievement of 5–7% weight loss gathering and maintaining the data
disabilities, are under-enrolled relative goals for the targeted populations will needed, and completing and reviewing
to their estimated numbers and disease increase. the collection of information by the
burden. To address these gaps, CDC At this time, CDC requests an grantee and affiliate delivery site to
funded a new, five-year cooperative additional three years of OMB approval submit information directly to the web-
agreement with ten new national to continue collecting information based data system. The number of
organizations in September 2017, needed to evaluate the effectiveness of respondents will increase with the
‘‘Scaling the National DPP in CDC’s funding for the new grantees. The increased number of grantees. These
Underserved Areas’’ (DP17–1705). CDC data collection will allow CDC to changes result in a net increase of 368
funded ten national organizations with continue to provide data-driven, annualized burden hours. There are no
affiliate program delivery sites in at tailored programmatic technical costs to respondents other than their
least three states, each to start new CDC- assistance to ensure continuous quality time.

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

National DPP Affiliate Delivery Sites Evaluation Form for Sites ................. 100 1 5 500
National DPP Grantees .................... Evaluation Form for Grantees .......... 10 1 3 30

Total ........................................... ........................................................... ........................ ........................ ........................ 530

Jeffrey M. Zirger, DEPARTMENT OF HEALTH AND SUMMARY: The Centers for Medicare &
Acting Chief, Information Collection Review HUMAN SERVICES Medicaid Services (CMS) is announcing
Office, Office of Scientific Integrity, Office an opportunity for the public to
of the Associate Director for Science, Office Centers for Medicare & Medicaid comment on CMS’ intention to collect
of the Director, Centers for Disease Control Services information from the public. Under the
and Prevention. Paperwork Reduction Act of 1995 (the
[Document Identifier: CMS–10391]
[FR Doc. 2018–21571 Filed 10–3–18; 8:45 am] PRA), federal agencies are required to
BILLING CODE 4163–18–P Agency Information Collection publish notice in the Federal Register
daltland on DSKBBV9HB2PROD with NOTICES

Activities: Proposed Collection; concerning each proposed collection of
Comment Request information (including each proposed
AGENCY: Centers for Medicare & extension or reinstatement of an existing
Medicaid Services, Department of collection of information) and to allow
Health and Human Services. 60 days for public comment on the
proposed action. Interested persons are
ACTION: Notice.
invited to send comments regarding our

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Document Created: 2018-10-04 02:03:16
Document Modified: 2018-10-04 02:03:16

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		CDC must receive written comments on or before December 3, 2018.
Contact		To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, 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		83 FR 50098

83 FR 50098 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 83, Issue 193 (October 4, 2018)

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