Proposed Data Collection Submitted for Public Comment and Recommendations

Citation84 FR 46733
Record Number2019-19083
Published date05 September 2019
SectionNotices
CourtCenters For Disease Control And Prevention,Health And Human Services Department
Federal Register, Volume 84 Issue 172 (Thursday, September 5, 2019)
[Federal Register Volume 84, Number 172 (Thursday, September 5, 2019)]
                [Notices]
                [Pages 46733-46735]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-19083]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Disease Control and Prevention
                [60-Day-19-1156; Docket No. CDC-2019-0078]
                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 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 Performance
                Monitoring of Working
                [[Page 46734]]
                with Publicly Funded Health Centers to Reduce Teen Pregnancy among
                Youth from Vulnerable Populations (OMB Control No. 0920-1156, Exp. 01/
                30/2020). A Revision is requested to continue collecting data through
                the end of the funding period and to develop systematic approaches to
                referring youth at risk for a teen pregnancy to reproductive health
                care.
                DATES: CDC must receive written comments on or before November 4, 2019.
                ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
                0078 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:
                [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 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
                 Performance Monitoring of Working with Publicly Funded Health
                Centers to Reduce Teen Pregnancy among Youth from Vulnerable
                Populations--Revision--Division of Reproductive Health (DRH), Centers
                for Disease Control and Prevention (CDC).
                Background and Brief Description
                 Although the 2017 US rate of 18.8 births per 1,000 female teens
                aged 15-19 years represents a continued decline, the United States has
                one of the highest teen birth rates of all Western industrialized
                countries. Access to reproductive health services and the most
                effective types of contraception has been shown to reduce the
                likelihood that teens become pregnant. Nevertheless, recent research
                and lessons learned through a previous teen pregnancy prevention
                project implemented through CDC in partnership with the Office of
                Adolescent Health (2010-2015; OMB No. 0920-0952, Exp. 12/31/2015),
                demonstrate that many health centers serving teens do not engage in
                youth-friendly best practices that may enhance access to care and to
                the most effective types of contraception. Furthermore, youth at
                highest risk of experiencing a teen pregnancy are often not connected
                to the reproductive health care that they need, even when they are part
                of a population that is known to be at high risk for a teen pregnancy.
                Significant racial, ethnic and geographic disparities in teen birth
                rates persist and continue to be a focus of public health efforts.
                 To address these challenges, CDC has provided funding to three
                organizations to strengthen partnerships and processes that improve
                reproductive health services for teens. These awardees are working with
                25 publicly funded health centers to support implementation of
                evidence-based recommendations for health centers and providers to
                improve adolescent access to reproductive health services. In addition,
                awardees have worked with approximately 30 youth-serving organizations
                (YSO) to provide staff training and develop systematic approaches to
                identifying youth who are at risk for a teen pregnancy and referring
                those youth to reproductive health care services. Finally, awardees
                have developed communication campaigns that increase awareness of the
                partner health centers' services for teens. Activities are expected to
                result in changes to health center and YSO partners' policies, to staff
                practices, and to youth health care seeking and teen pregnancy
                prevention behaviors.
                 The best practices to improve adolescent access to reproductive
                health services included in this program are supported by evidence in
                the literature and recommended by major medical associations. Each of
                the components of the current project has been implemented as part of
                past teen pregnancy prevention efforts. Consistent with CDC's mission
                of using evidence to improve public health programs, conducting an
                evaluation of combined best practices, in concert with community-
                clinical linkage of youth to services to increase their access to
                reproductive health care, can provide further information to inform
                future teen pregnancy prevention efforts.
                 CDC has been collecting the information needed to assess these
                efforts under Performance Monitoring of Working with Publicly Funded
                Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable
                Populations (OMB Control No. 0920-1156, Exp. 1/31/2020). CDC is using
                the information to determine the types of training and technical
                assistance that may be needed to monitor whether awardees meet
                objectives related to health center and YSO partners' policies and
                staff practices, to support a data-driven quality improvement process
                for adolescent sexual and reproductive health care services and
                referrals, and to assess whether the project model was effective in
                increasing the utilization of services by youth.
                 A Revision of the currently approved information collection is
                being requested through 9/30/2020 in order to continue data collection
                until the end of the project. Remaining information collection
                activities will include awardees, health center partner organizations,
                and providers at the health center partners; information collection
                during the extension period
                [[Page 46735]]
                will not include YSOs or youths being served by health centers, as
                significant changes are not expected to be found for YSOs in the final
                year and that the youth survey will not need to be conducted beyond
                late 2019. Participation in the organizational assessment activities is
                required for awardees and partner organizations. Participation in a
                survey of health center providers is voluntary. The total estimated
                burden hours for the extension period are 485 hours.
                 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)
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                Private Sector................................. Health Center Organizational Assessment 21 1 2 42
                 Quarterly Health Center Performance 21 2 4 168
                 Reporting Tool.
                 Annual Health Center Performance 21 1 6 126
                 Measure Reporting Tool.
                 Health Center Provider Survey.......... 84 1 20/60 28
                 Awardee Training and Technical 3 8 2 48
                 Assistance Tool.
                 Awardee Performance Measure Reporting 3 1 1 3
                 Tool.
                State and Local Government..................... Health Center Organizational Assessment 4 1 2 8
                 Quarterly Health Center Performance 4 2 4 32
                 Measure Reporting Tool.
                 Annual Health Center Performance 4 1 6 24
                 Measure Reporting Tool.
                 Health Center Provider Survey.......... 16 1 20/60 6
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                 Total...................................... ....................................... .............. .............. .............. 485
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                Jeffrey M. Zirger,
                Lead, Information Collection Review Office, Office of Scientific
                Integrity, Office of Science, Centers for Disease Control and
                Prevention.
                [FR Doc. 2019-19083 Filed 9-4-19; 8:45 am]
                 BILLING CODE 4163-18-P
                

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