[Federal Register Volume 70, Number 70 (Wednesday, April 13, 2005)]
[Notices]
[Pages 19476-19477]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-7385]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-05-05BU]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-371-5983 or 
send comments to Seleda Perryman, CDC Assistant Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail 
to [email protected].
    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; and (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. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Assessment and Monitoring of Breastfeeding-Related Maternity Care 
Practices in Intrapartum Care Facilities in the United States and 
Territories--New--National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    There is substantial evidence on the social, economic and health 
benefits of breastfeeding for both the mother and infant and the 
importance of the health care system in promoting the initiation and 
maintenance of breastfeeding. Yet breastfeeding initiation rates and 
duration in the United States did not achieve Healthy People 2000 
goals, and significant disparities continue to exist between African 
American and White

[[Page 19477]]

women in breastfeeding rates. The Healthy People 2010 goals are to 
increase the proportion of mothers who breastfeed in the early 
postpartum period from 64% to 75%, the proportion who breastfeed their 
babies through 6 months of age from 29% to 50%, and to increase from 
16% to 25% the proportion of mothers who breastfeed to 1 year of age 
(the first figure in each comparison is a 1998 estimate). In addition, 
Healthy People 2010 seeks to decrease the disparities in breastfeeding 
initiation, exclusivity, and duration between African American and 
White women. Along with ethnic and racial disparities, there is 
evidence of significant variation in state breastfeeding rates. For 
example, in 2003 the breastfeeding initiation rate in Louisiana was 
46.4 percent and in Oregon was 88.8 percent.
    One important and effective means to promote and support the 
initiation and maintenance of breastfeeding is through the health care 
system. The few studies on breastfeeding practices at intrapartum care 
facilities (facilities that manage and deliver care to women in labor) 
within individual states show significant variation in practices. 
However, with the data currently available it is not possible to assess 
and monitor breastfeeding-related practices and policies in hospitals 
and free-standing childbirth centers across the United States.
    CDC plans to conduct an assessment of breastfeeding-related 
maternity care practices in intra-partum care facilities in the United 
States and Territories to provide information to individual facilities, 
state health departments, and CDC on the extent to which facilities are 
providing effective breastfeeding-related maternity care. The 
assessment will provide detailed information on general facility 
characteristics related to maternity care such as: facility management 
and support policies relevant to breastfeeding-related maternity care 
practices, practices relevant to the training of health care staff on 
breastfeeding instruction, rooming-in, infant supplementation, and 
discharge from facility. CDC will provide facility-specific information 
based on the assessment to the individual facilities and state-specific 
information to state health departments. The information from the 
survey can be used by facilities to evaluate and modify breastfeeding-
related maternity care practices, and by states and CDC to inform and 
target programs and policies to improve breastfeeding-related maternity 
care practices at intrapartum care facilities.
    Approximately 3,500 facilities providing maternity care in the 
United States and Territories will be mailed a survey every other year 
in this 4-year study. The survey will be administered for the first 
time in 2005 and for the second time in 2007. Survey content will be 
similar in each of the administrations to examine changes in practices 
and policies over time. It is expected that approximately 3,000 
facilities will complete the fifteen minute questionnaire in each 
administration. The facilities will be identified from the American 
Hospital Association's (AHA) Annual Survey of Hospitals and the 
National Association of Childbearing Centers (NACC). A five minute 
screening telephone call will be made prior to survey administrations 
to all facilities identified as providing maternity care by AHA and 
NACC to ensure they are currently providing maternity care, to identify 
possible satellite clinics providing maternity care, and to identify 
survey respondents in each of the facilities. The respondents will have 
the option of either responding by mail or through a web-based system. 
The survey will provide detailed information about breastfeeding-
related maternity care practices and policies at hospitals and free-
standing birthing centers. There are no costs to respondents other than 
their time to respond.

                                       Estimate of Annualized Burden Table
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                                                                     Number of    Average burden
            Questionnaire/respondents                Number of      responses/     per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
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Screening call/facilities that have at least one           3,500               1            5/60             292
 registered maternity bed (2005)................
Mail survey/facilities providing maternity care            3,000               1           15/60             750
 in the past calendar year (2005)...............
Screening call/facilities that have at least one           3,500               1            5/60             292
 registered maternity bed (2007)................
Mail survey/facilities providing maternity care            3,000               1           15/60             750
 in the past calendar year (2007)...............
                                                 -----------------
    Total.......................................          13,000                                           2,084
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    Dated: April 6, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. 05-7385 Filed 4-12-05; 8:45 am]
BILLING CODE 4163-18-P